Individual
RACHEL NICOLE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC I
Contact information
Practice address
1026 MAXWELL ST, COLORADO SPRINGS, CO 80906-5554
(719) 229-1006
Mailing address
1348 HAZELINE LAKE DR, COLORADO SPRINGS, CO 80921-4105
(719) 229-1006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACA.0007750
CO
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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