Individual provider · Type 1 NPI
Kelly Shirlette Jenkins, PC
Professional Counselor · Hiram, GA
NPI number
1548549983
Active
Practice location
203 Venture Path
Hiram, GA 30141-2681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC004344 (GA) |
Professional Counselor: Definition to come...
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About NPI 1548549983
Kelly Shirlette Jenkins, PC's National Provider Identifier is 1548549983, issued on Aug 16, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hiram, GA. The record was last updated on Aug 16, 2011.