Individual
JENNIFER MANTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 EAST AVE, NORWALK, CT 06851-5014
(203) 605-2743
Mailing address
1285 HOPE ST APT 10, STAMFORD, CT 06907-1451
(203) 240-8708
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222562827
—
CT
Enumeration date
05/20/2019
Last updated
05/20/2019
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