MRS. Jeanie Manson, LISAC

NPI #1902237191 in Page, Arizona

Provider Information

NPI Number: 1902237191
Entity Type: Individual
Name: MRS. Jeanie Manson, LISAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LISAC
Enumeration Date: Dec 12, 2013
Last Updated: Dec 12, 2013

Practice Location

Address: 337 N. NAVAJO DRIVE
City: Page
State: Arizona
ZIP Code: 86040
Phone: (928) 645-6840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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