National Provider Identifier
Larry Jenkins, CACII, NCACII, B.S.
Larry Jenkins, CACII, NCACII, B.S. is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Peachtree City, GA and a listed phone number of (770) 719-1746.
Source: public NPPES record, last updated March 14, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1558846196
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- September 29, 2018
- Last Updated
- March 14, 2022
Practice Location
- 116 Peachtree Ct Ste A
- Peachtree City, GA 30269-4800
Phone: (770) 719-1746
Mailing Address
- 41 Farmer St Ste 101
- Newnan, GA 30263-8672
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Larry Jenkins is a Peachtree City and Newnan, Georgia-based addiction counseling professional whose public credential listing includes CACII, NCACII, and B.S. credentials, along with a Georgia addiction-counselor license.
Full Record
- NPI
- 1558846196
- Entity Type
- Individual
- Last Name
- Jenkins
- First Name
- Larry
- Credential
- CACII, NCACII, B.S.
- Mailing Street Address
- 41 Farmer St Ste 101
- Mailing City
- Newnan
- Mailing State
- GA
- Mailing ZIP Code
- 30263-8672
- Mailing Country
- US
- Mailing Phone
- (770) 683-3150
- Mailing Fax
- (770) 683-3151
- Practice Street Address
- 116 Peachtree Ct Ste A
- Practice City
- Peachtree City
- Practice State
- GA
- Practice ZIP Code
- 30269-4800
- Practice Country
- US
- Practice Phone
- (770) 719-1746
- Practice Fax
- (770) 716-2368
- Enumeration Date
- September 29, 2018
- Last Updated
- March 14, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 14, 2022
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)