Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor |
NPI | 1003230939 |
---|---|
Provider Name | Daniel Jenkins |
First Address | Monterey, CA 93940-4129 |
Second Address | Monterey, CA 93940-6037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2014 |
Last Update Date | 19/08/2021 |