Individual
JEANETTE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADAC
Contact information
Practice address
2623 5TH ST N, COLUMBUS, MS 39705-2009
(662) 241-7097
Mailing address
1867 CRANE RIDGE DR STE 150C, JACKSON, MS 39216-4982
(769) 251-5550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
AD18054M
MS
Other
Enumeration date
03/16/2018
Last updated
11/06/2023
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