Individual provider · Type 1 NPI
Larry Jenkins, CACII, NCACII, B.S.
Addiction (Substance Use Disorder) Counselor · Peachtree City, GA
NPI number
1558846196
Active
Practice location
116 Peachtree Ct Ste A
Peachtree City, GA 30269-4800
Fax (770) 716-2368
Mailing address
41 Farmer St Ste 101
Newnan, GA 30263-8672
Other practice locations
- 41 Farmer St Ste 101, Newnan, GA 30263-8672 · (770) 683-3150
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1684CACII (GA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Peachtree City
About NPI 1558846196
Larry Jenkins, CACII, NCACII, B.S.'s National Provider Identifier is 1558846196, issued on Sep 29, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Peachtree City, GA. The record was last updated on Mar 14, 2022.