Individual
MR. MICHAEL LEE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
628 CENTER ST, CHICOPEE, MA 01013-1589
(413) 746-0051
(413) 746-0368
Mailing address
628 CENTER ST, CHICOPEE, MA 01013-1589
(413) 746-0051
(413) 746-0368
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/28/2010
Last updated
03/07/2016
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