Manley, Kristi Annette

Manley, Kristi Annette is an individual health care provider with primary practice located at 2701 17Th St , Rock Island IL 61201-5351. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Manley, Kristi Annette can be contacted via phone (309) 779-2031.

Contact Information

Primary practice address
2701 17Th St Rock Island IL 61201-5351
Phone: (309) 779-2031
Fax: (309) 779-2167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1972797629
LBN Legal business name Manley, Kristi Annette
Credentials LMHC LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2007
Last updated Jun 13th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972797629 NPPES
Iowa Other 001087 LICENSED MENTAL HEALTH COUNSELOR
Iowa Other 180.007471 LICENSED MENTAL HEALTH COUNSELOR

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