Individual
JAVYA CHANICE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(855) 694-8288
Mailing address
2657 CORN PILE RD, MYRTLE BEACH, SC 29588-8466
(678) 702-1240
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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