Individual
LESLIE DIANE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2126 N 1ST ST STE F, JACKSONVILLE, AR 72076-2868
(501) 982-5000
(501) 982-5007
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A1010123
AR
101YM0800X
Mental Health Counselor
Primary
—
AR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/04/2010
Last updated
05/09/2018
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