IndividualActive
Jonathan Jenkins
NPI 1245817501 · Marriage & Family Therapist · Brandon, MS
Provider details
- NPI number
- 1245817501
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- T0152 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
613 Marquette Rd
Brandon, MS 39042-3038
Phone: (601) 824-0342
Fax: (601) 824-0349
Approximate (ZIP-level) locationGet directions
Mailing address
613 Marquette Rd
Brandon, MS 39042-3038
Registry dates
- Enumerated
- 2021-03-24
- Last updated
- 2023-06-13
- Certified
- 2023-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.