Individual
JENNIFER MAUREEN MANCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1813 MAIN ST, BLAKELY, PA 18447-1265
(570) 904-7363
(570) 348-4079
Mailing address
228 S MAIN AVE, SCRANTON, PA 18504-2545
(570) 904-7363
(570) 348-4079
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011230
PA
Other
Enumeration date
04/23/2019
Last updated
05/12/2022
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