Individual
JENNIFER LEE MANTHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
332 W SUPERIOR ST STE 300, DULUTH, MN 55802-1844
(218) 341-2044
Mailing address
332 W SUPERIOR ST STE 300, DULUTH, MN 55802-1844
(218) 341-2044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304357
MN
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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