Individual provider · Type 1 NPI
Detria S. Jenkins
Professional Counselor · Monroe, LA
NPI number
1063697019
Active
Practice location
617 N 2nd St
Monroe, LA 71201-6235
Fax (318) 387-3541
Mailing address
PO Box 1222
West Monroe, LA 71294-1222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 9219 (LA) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1063697019
Detria S. Jenkins's National Provider Identifier is 1063697019, issued on Jan 8, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Monroe, LA. The record was last updated on Mar 12, 2026.