LARRY JENKINS

PEACHTREE CITY, GA
NPI1558846196
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: GA  1684CACII)
Enumeration Date2018-09-29
Last Update Date2022-03-14
Business Address
LARRY JENKINS CACII, NCACII, B.S.
116 PEACHTREE CT STE A
PEACHTREE CITY, GA 30269-4800
Phone number: 770-719-1746
Mailing Address
LARRY JENKINS CACII, NCACII, B.S.
41 FARMER ST STE 101
NEWNAN, GA 30263-8672
Phone number: 770-683-3150
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