| Doctor Name: | JULIE ANNE JENKINS |
| NPI Number: | 1619397239 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., ED.S., LPCA |
| License Number: | LCAS-20080 |
| Business Practice Address: | 1201 School St Ste E Wilkesboro, NC - 286972629 |
| Business Phone Number: | 3366671140 |
| Business Fax Number: | |
| Mailing Address: | 1371 Nc Highway 90 W, TAYLORSVILLE |
| State: | NC |
| Postal Code: | 286817153 |
| Phone Number: | 8283206533 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2014 |
| NPI Last Update Date: | 04/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCAS-20080 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |