Individual
JENNIFER C. MANN-MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1245 S 1ST ST, JESUP, GA 31545-7729
(912) 385-2627
(912) 385-2628
Mailing address
PO BOX 37, JESUP, GA 31598-0037
(912) 385-2627
(912) 385-2628
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC002644
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359579212B
—
GA
Enumeration date
07/23/2008
Last updated
12/28/2009
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