Individual
MS. JEAN MARIE MANTHEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CACIII
Contact information
Practice address
5160 N UNION BLVD, COLORADO SPRINGS, CO 80918-2033
(719) 550-1011
Mailing address
322 N PROSPECT ST, COLORADO SPRINGS, CO 80903-3120
(719) 632-3990
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC 4101
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CACIII 2381
CO
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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