Individual
KATHLEEN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC/LCADC., CCS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00368000
NJ
101YP2500X
Professional Counselor
Primary
37PC01143100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37LC00368000
—
NJ
05
—
37PC01143100
—
NJ
Enumeration date
11/10/2017
Last updated
06/15/2025
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