Individual
JENNIFER J MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7449 S WINSTON AVE, TULSA, OK 74136-6119
(918) 851-8958
Mailing address
7446 S ATLANTA AVE, TULSA, OK 74136-5503
(918) 851-8958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4006
OK
Other
Enumeration date
01/18/2010
Last updated
02/16/2016
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