Jenkins, Detria S

Jenkins, Detria S is an sole proprietor health care provider with primary practice located at 130 Desiard St Suite 412, Monroe LA 71201-7319. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Related Providers / Personal Care Attendant, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Jenkins, Detria S can be contacted via phone (318) 387-3545.

Contact Information

Primary practice address
130 Desiard St Suite 412 Monroe LA 71201-7319
Phone: (318) 387-3545
Fax: (318) 387-3541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X PCA 14071 Louisiana
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1063697019
LBN Legal business name Jenkins, Detria S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2008
Last updated Dec 5th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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