Provider Demographics
NPI:1649567967
Name:JENKINS, AARON CHRISTOPHER
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:CHRISTOPHER
Last Name:JENKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5916 MAGIC OAK ST
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-6885
Mailing Address - Country:US
Mailing Address - Phone:702-545-0365
Mailing Address - Fax:
Practice Address - Street 1:5916 MAGIC OAK ST
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-6885
Practice Address - Country:US
Practice Address - Phone:702-545-0365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health