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Search › Kansas › 1041C0700X

Modena Jenkins, LSCSW

NPI 1023489275 · on the registry since 2015 · sole proprietor

Practice

Address
434 N Ohio Ave
Wichita, KS 67214
Phone
(316) 409-6626
Fax
(316) 776-4479
Organisation at this address
Headway Therapy Services, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas