Individual
JANET L MANSKER WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
11470 SUMMERVILLE RD, SPARTA, IL 62286-3670
(618) 443-2100
(618) 443-1080
Mailing address
11470 SUMMERVILLE RD, SPARTA, IL 62286-3670
(618) 443-2100
(618) 443-1080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180-001907
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-3149526
TAX ID #
IL
Enumeration date
03/13/2007
Last updated
07/08/2007
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