FREDERICK MAUGER JENKINS

CAMP HILL, PA
NPI1790374502
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC1900X Psychologist Counseling
(Licence:   PS007922L)
Additional Taxonomies101YM0800X Counselor Mental Health
(Licence: PA  PC000070)
103TB0200X Psychologist Cognitive & Behavioral
(Licence:   PS007922)
Enumeration Date2021-01-15
Last Update Date2021-01-15
Business Address
FREDERICK MAUGER JENKINS
337 BLACKLATCH LN
CAMP HILL, PA 17011-8413
Phone number: 717-620-1291
Mailing Address
FREDERICK MAUGER JENKINS
337 BLACKLATCH LN
CAMP HILL, PA 17011-8413
Phone number: 717-620-1291