Manning, Jessica Hadley

Manning, Jessica Hadley is an individual health care provider with primary practice located at 1009 N Lake Park Blvd Suite B-4, Carolina Beach NC 28428-7800. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Manning, Jessica Hadley can be contacted via phone (910) 231-3265.

Contact Information

Primary practice address
1009 N Lake Park Blvd Suite B-4 Carolina Beach NC 28428-7800
Phone: (910) 231-3265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1189 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C006265 North Carolina

Profile Details

NPI number 1437346202
LBN Legal business name Manning, Jessica Hadley
Credentials LCSW, LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated Apr 28th, 2014 - about 10 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 1437346202 NPPES
North Carolina MEDICAID 6111983

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