Individual
JENNIFER MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1200 HAMILTON BLVD, PEORIA, IL 61606-1525
(309) 671-4681
(309) 589-7981
Mailing address
1200 HAMILTON BLVD, PEORIA, IL 61606-1525
(309) 671-4681
(309) 589-7981
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
149015726
IL
101YM0800X
Mental Health Counselor
149015726
IL
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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