Jenkins, Richard

Jenkins, Richard is an individual health care provider with primary practice located at 1602 S Elliott Ave Ste D , Aurora MO 65605-2133. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Jenkins, Richard can be contacted via phone (417) 229-0413.

Contact Information

Primary practice address
1602 S Elliott Ave Ste D Aurora MO 65605-2133
Phone: (417) 229-0413
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 20010222022 Missouri

Profile Details

NPI number 1528226172
LBN Legal business name Jenkins, Richard
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2008
Last updated May 30th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528226172 NPPES
Missouri MEDICAID 495187403

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