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1104582295
NATHANIEL JENKINS
CLAYTON, MO
NPI
1104582295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2016045162)
Enumeration Date
2021-11-12
Last Update Date
2021-11-12
Business Address
NATHANIEL JENKINS LPC, NBCC
6453 SAN BONITA AVE
CLAYTON, MO 63105-3117
Phone number: 314-403-1623
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Mailing Address
NATHANIEL JENKINS LPC, NBCC
6453 SAN BONITA AVE
CLAYTON, MO 63105-3117
Phone number: 314-403-1623
Copy
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