Individual
MS. LILLIAN MICHELLE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA ,LCPC, LCAC,
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 240-7106
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(918) 752-5782
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00844
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
918
OK
101YP2500X
Professional Counselor
03521
KS
101YP2500X
Professional Counselor
4602
OK
Other
Enumeration date
09/18/2008
Last updated
11/01/2023
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