Individual
NICHOLAS JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2439 S WENTWORTH AVE APT A, MILWAUKEE, WI 53207-1932
(847) 476-2195
Mailing address
2439 S WENTWORTH AVE APT A, MILWAUKEE, WI 53207-1932
(847) 476-2195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6638-125
WI
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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