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NPI Code Detail

MEDICARE: MRS. JAIME LAINE JENKINS LPC

MEDICARE: MRS. JAIME LAINE JENKINS LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor7506NC
2101YP2500XProfessional CounselorLPC010668GA

General Provider Information

NPI Number : 1841521937
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAIME LAINE JENKINS LPC
Provider Business Mailing Address
First Line : 4255 WADE GREEN RD NW STE 414
Second Line :
City : KENNESAW
State : GA
Zip : 30144-1763
Country : US
Telephone Number : 678-213-2194
Fax Number :
Provider Business Practice Location Address
First Line : 4255 WADE GREEN RD NW STE 414
Second Line :
City : KENNESAW
State : GA
Zip : 30144-1763
Country : US
Telephone Number : 678-213-2194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2010
Last Update Date : 09/16/2021

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Directions to “ MRS. JAIME LAINE JENKINS LPC” Practice Location

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