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NPI Code Detail

MEDICARE: JESSICA L MANLEY LPCC

MEDICARE: JESSICA L MANLEY LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorE.0701133OH

General Provider Information

NPI Number : 1184943656
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA L MANLEY LPCC
Provider Business Mailing Address
First Line : 329 N WEST ST
Second Line :
City : LIMA
State : OH
Zip : 45801-4332
Country : US
Telephone Number : 419-221-3072
Fax Number :
Provider Business Practice Location Address
First Line : 5601 CLEGG DR
Second Line :
City : TOLEDO
State : OH
Zip : 43613-2022
Country : US
Telephone Number : 567-389-4796
Fax Number : 419-225-8878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2010
Last Update Date : 07/22/2024

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Directions to “ JESSICA L MANLEY LPCC” Practice Location

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