Doctor Name: | MICHELLE A JENKINS |
NPI Number: | 1306126602 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | E.0701206 |
Business Practice Address: | 1251 Nilles Road Suite 5 Fairfield, OH - 450147205 |
Business Phone Number: | 5139390300 |
Business Fax Number: | 5139390310 |
Mailing Address: | 1251 Nilles Road, Suite 5 FAIRFIELD |
State: | OH |
Postal Code: | 450147205 |
Phone Number: | 5139390300 |
Fax Number: | 5139390310 |
NPI Enumeration Date: | 08/18/2011 |
NPI Last Update Date: | 04/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | E.0701206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |