Individual
JEANINA MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 NOLAN RD, SANFORD, FL 32773-7015
(253) 709-3220
Mailing address
5850 NOLAN RD, SANFORD, FL 32773-7015
(253) 709-3220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH22516
FL
101Y00000X
Counselor
Primary
MH7057
FL
Other
Enumeration date
07/07/2025
Last updated
01/29/2026
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