Mantooth, Jacquelyn

Mantooth, Jacquelyn is an individual health care provider with primary practice located at 240 W Tyrone Rd , Oak Ridge TN 37830-6571. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mantooth, Jacquelyn can be contacted via phone (865) 482-1076.

Contact Information

Primary practice address
240 W Tyrone Rd Oak Ridge TN 37830-6571
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5630 Tennessee

Profile Details

NPI number 1700505948
LBN Legal business name Mantooth, Jacquelyn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2022
Last updated Aug 23rd, 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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