Charles Lee Jenkins Jr., LCPC
Counselor, Professional in Frederick, MD. Individual provider (NPI-1).
NPI number1164032942
StatusActive
Last updated in NPPESAug 5, 2020
Details
- NPI
- 1164032942
- Entity type
- Individual (NPI-1)
- Name
- Mr. Charles Lee Jenkins Jr.
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2020
- Certification date
- Aug 5, 2020
- Last updated
- Aug 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LC10688 | MD | Yes |
Practice location
4705 Verdana LoopFrederick, MD 21703-2733
Phone 301-305-8511
Mailing address
4705 Verdana LoopFrederick, MD 21703-2733
Phone 301-305-8511
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