Mannino, Jennifer

Mannino, Jennifer is an individual health care provider with primary practice located at 127 N River St , Fenton MI 48430-3800. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mannino, Jennifer can be contacted via phone (810) 309-9355.

Contact Information

Primary practice address
127 N River St Fenton MI 48430-3800
Phone: (810) 309-9355
Fax: (810) 750-1152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401222784 Michigan

Profile Details

NPI number 1528793684
LBN Legal business name Mannino, Jennifer
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2022
Last updated Jul 21st, 2022 - about 3 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 1528793684 NPPES
Michigan Other 6401222784 LICENSED PROFESSIONAL COUNSELOR
Michigan MEDICAID 6401222784 LICENSED PROFESSIONAL COUNSELOR

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