Sandra Kay Jenkins

NPI #1508566316 in Mishawaka, Indiana

Provider Information

NPI Number: 1508566316
Entity Type: Individual
Name: Sandra Kay Jenkins
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 9, 2023
Last Updated: Aug 15, 2024

Practice Location

Address: 2410 GRAPE RD STE 6
City: Mishawaka
State: Indiana
ZIP Code: 46545-3015
Phone: (742) 170-1285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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