Individual
CORA JEAN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
Mailing address
2716 MIMOSA AVE, SHREVEPORT, LA 71108-4340
(318) 572-6020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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