Individual
MR. JAMES WILLIE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
413 JEFFERSON AVE., CAPE CHARLES, VA 23310
(757) 710-1182
Mailing address
PO BOX 834, EASTVILLE, VA 23347-0834
(757) 710-1182
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701005424
VA
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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