Individual
MS. JERI LYNNE MANHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C., N.C.C.
Contact information
Practice address
1618 WILLIAMS DR., SUITE 4, GEORGETOWN, TX 78628
(512) 415-5549
Mailing address
1618 WILLIAMS DR., SUITE 4, GEORGETOWN, TX 78628
(512) 415-5549
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
215708
TX
102L00000X
Psychoanalyst
Primary
62113
TX
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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