James Jenkins, Master's Social Work
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1174968614
StatusActive
Last updated in NPPESJun 15, 2018
Details
- NPI
- 1174968614
- Entity type
- Individual (NPI-1)
- Name
- Mr. James Jenkins
- Credential
- Master's Social Work
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 9, 2013
- Last updated
- Jun 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
847 Ne 19th AvePortland, OR 97232
Phone 503-238-0769
Mailing address
Po Box 8459Portland, OR 97207-8459
Phone 503-238-0769
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