Individual
MRS. NADINE LOUISE MANCHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1200 NORTH WEST AVE, JACKSON, MI 49202
(517) 783-5334
(517) 783-6064
Mailing address
205 MOHAWK ST, JACKSON, MI 49203-5351
(517) 787-5816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401010045
MI
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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