| Doctor Name: | BARBARA JENKIN |
| NPI Number: | 1013283969 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA,CAP |
| License Number: | 0755AD374301 |
| Business Practice Address: | 248 Southpark Cir E Saint Augustine, FL - 320865137 |
| Business Phone Number: | 4107034133 |
| Business Fax Number: | 9047975681 |
| Mailing Address: | 248 Southpark Circle East, SAINT AUGUSTINE |
| State: | FL |
| Postal Code: | 32086 |
| Phone Number: | 4107034133 |
| Fax Number: | 9047975681 |
| NPI Enumeration Date: | 03/26/2012 |
| NPI Last Update Date: | 03/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0755AD374301 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |