NPI 1073664967

Gerald P. Jenkins, DMIN

Practitioner Marriage & Family Therapist Cumming, GA

Practice location

Address: 634 Peachtree Pkwy Suite 210, Cumming, GA 30041-9782
Phone: (678) 513-7676
Fax: (770) 844-0561
Mailing address: 2536 Ballantrae Cir, Cumming, GA 30041-6393

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MFT000318 (GA)

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Registry record

NPI: 1073664967
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.