Provider Demographics
NPI:1518244987
Name:JENKINS-AKERS, CHERYL JEAN (LAADAC, CCDP, MHPP)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:JEAN
Last Name:JENKINS-AKERS
Suffix:
Gender:F
Credentials:LAADAC, CCDP, MHPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BERRYVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72616-4330
Mailing Address - Country:US
Mailing Address - Phone:870-423-1077
Mailing Address - Fax:870-741-4088
Practice Address - Street 1:1004 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:AR
Practice Address - Zip Code:72616-4330
Practice Address - Country:US
Practice Address - Phone:870-423-1077
Practice Address - Fax:870-741-4088
Is Sole Proprietor?:No
Enumeration Date:2011-11-13
Last Update Date:2011-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
AR0313AL101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR307OtherCCDP
AR10100000XOtherCOUNSELOR
AR0313ALOtherLAADAC