Individual provider · Type 1 NPI
Kristle Shanell Jenkins
Professional Counselor · Lawrenceville, GA
NPI number
1063101426
Active
Practice location
10 Springbottom Drive
Lawrenceville, GA 30046
Mailing address
722 Collins Hill Road, Ste H-154
Lawrenceville, GA 30046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1063101426
Kristle Shanell Jenkins's National Provider Identifier is 1063101426, issued on May 2, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lawrenceville, GA. The record was last updated on May 4, 2023.