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Organization
JESSICA MANLEY
Active
Organization
JESSICA MANLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA MANLEY LMHC (COUNSELOR)
19412648742
Entity
Organization
Contact information
Practice address
6710 ELLENTON GILLETTE RD, UNIT 100, PALMETTO, FL 34221-8658
(941) 264-8742
Mailing address
6710 ELLENTON GILLETTE RD, UNIT 100, PALMETTO, FL 34221-8658
(941) 264-8742
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12808
FL
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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