Individual
LA-TOYA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 HALIFAX ST STE 3, EMPORIA, VA 23847-1722
(804) 404-8241
(804) 800-4483
Mailing address
PO BOX 5573, RICHMOND, VA 23220-0573
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009610
VA
101YP2500X
Professional Counselor
LPC013085
GA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/23/2020
Last updated
09/21/2022
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