Individual
MRS. JAMI MELINA MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CACI
Contact information
Practice address
1304 CHINOOK LN, PUEBLO, CO 81001-1851
(719) 545-2746
Mailing address
3122 HERRICK PL, PUEBLO, CO 81003-3838
(719) 583-0578
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6321
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09926135
CO
Other
Enumeration date
09/17/2008
Last updated
08/22/2019
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