Individual
MRS. JENNIFER ANN MANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMHP
Contact information
Practice address
8101 O ST, STE 101, LINCOLN, NE 68510-2646
(402) 261-3714
(888) 959-0716
Mailing address
6117 S 30TH ST, LINCOLN, NE 68516-4617
(785) 865-6952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3586
NE
1041C0700X
Clinical Social Worker
1330
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97109
BCBS
NE
Enumeration date
06/29/2007
Last updated
05/28/2012
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