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MRS. TAMIKA JENKINS M. A., L. P. C.

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1295959393

Individual Registrant:
MRS. TAMIKA  JENKINS M. A., L. P. C.
Gender: F
Sole Proprietor

Location and contact information for practice:
145 HOWELL RD STE B  TYRONE, GA 30290-2036 US
Tel: 678-557-3729  Fax: --

Contact information for business:
PO BOX 1772  STOCKBRIDGE, GA 30281-8772 US
Tel: 678-557-3729  Fax: --

Registration Information:
NPI: 1295959393
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101Y00000XBehavioral Health & Social Service Providers
Counselor
GALPC003561
N101YA0400XBehavioral Health & Social Service Providers
Counselor
GALPC003561
N101YM0800XBehavioral Health & Social Service Providers
Counselor
GALPC003561
N171M00000XOther Service Providers
Case Manager/Care Coordinator
GALPC003561
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
GALPC003561

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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