Individual
MICHEL N JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1640 MCCRACKEN BLVD, PADUCAH, KY 42001-9562
(270) 534-5128
Mailing address
1640 MCCRACKEN BLVD, PADUCAH, KY 42001-9562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259792
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259792
BOARD OF SOCIAL WORK
KY
Enumeration date
11/18/2024
Last updated
11/18/2024
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