Individual
DR. CHARLES JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D,
Contact information
Practice address
6065 ROSWELL RD NE, SUITE 725, SANDY SPRINGS, GA 30328-4011
(770) 956-9213
(770) 956-9218
Mailing address
104 JEFFREY PL, SMYRNA, GA 30082-3678
(770) 956-9213
(770) 956-9218
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3552
GA
106H00000X
Marriage & Family Therapist
818
GA
Other
Enumeration date
02/09/2007
Last updated
04/10/2012
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