Provider Demographics
NPI:1417487620
Name:JENKINS, TONJALETHA HOWARD (MS, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:TONJALETHA
Middle Name:HOWARD
Last Name:JENKINS
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4758 DONNA DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-3508
Mailing Address - Country:US
Mailing Address - Phone:504-298-8628
Mailing Address - Fax:
Practice Address - Street 1:4035 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-2935
Practice Address - Country:US
Practice Address - Phone:504-358-5408
Practice Address - Fax:228-387-7250
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6747101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional