Jenkins, Jennica Rachel
Jenkins, Jennica Rachel is an individual health care provider with primary practice located at 1899 E Roseville Pkwy Ste 140 , Roseville CA 95661-7980. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Emergency Medical Service Providers / Personal Emergency Response Attendant, Other Service Providers / Research Study. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jenkins, Jennica Rachel can be contacted via phone (916) 747-3799.Contact Information
Primary practice address
1899 E Roseville Pkwy Ste 140
Roseville CA 95661-7980
Phone: (916) 747-3799
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC6072 | Colorado |
| Behavioral Health & Social Service Providers / School | 101YS0200X | 50164430 | California |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 26 | California |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | EXAM PASS # 275107 | |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | PSYD CCU SANTA ANA | |
| Emergency Medical Service Providers / Personal Emergency Response Attendant | 146D00000X | TRAUMA AND LOSS CERT | |
| Other Service Providers / Research Study | 1744R1102X | ADOLESCENT |
Profile Details
| NPI number | 1023308079 |
|---|---|
| LBN Legal business name | Jenkins, Jennica Rachel |
| Credentials | PSYD, LPC, LPCC, PPS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2011 |
| Last updated | Oct 8th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023308079 | NPPES |
| California | Other | 26 | CA BOARD OF BEHAVIORAL SCIENCES |
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