Individual
EMILY ANNE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1600 S MAIN ST, LEBANON, OR 97355-3109
(541) 451-5932
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3866
(541) 812-8807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2010
Last updated
02/04/2014
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