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NPI Code Detail

MEDICARE: STACY JEAN MANETH LPC

MEDICARE: STACY JEAN MANETH LPC
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 CounselorLPC04668KS
2104100000XSocial WorkerLPC04668KS

General Provider Information

NPI Number : 1215779913
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY JEAN MANETH LPC
Provider Business Mailing Address
First Line : 730 HOLLY LN
Second Line :
City : SALINA
State : KS
Zip : 67401-8452
Country : US
Telephone Number : 785-452-4930
Fax Number : 785-452-4932
Provider Business Practice Location Address
First Line : 730 HOLLY LN
Second Line :
City : SALINA
State : KS
Zip : 67401-8452
Country : US
Telephone Number : 785-452-4930
Fax Number : 785-452-4932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2024
Last Update Date : 12/17/2025

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Directions to “ STACY JEAN MANETH LPC” Practice Location

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