Individual provider · Type 1 NPI

Patrice Jenkins

Mental Health Counselor · San Diego, CA

NPI number 1619288941 Active

Practice location

3132 Jefferson St
San Diego, CA 92110-4421

Mailing address

3994 Ingraham St
San Diego, CA 92109-5900

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1619288941

Patrice Jenkins's National Provider Identifier is 1619288941, issued on Jul 1, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Aug 16, 2011.