Jennifer Mann, LCSW

NPI #1942540109 in Peoria, Illinois

Provider Information

NPI Number: 1942540109
Entity Type: Individual
Name: Jennifer Mann, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LCSW
Enumeration Date: Feb 26, 2013
Last Updated: Feb 26, 2013

Practice Location

Address: 1200 HAMILTON BLVD
City: Peoria
State: Illinois
ZIP Code: 61606-1525
Phone: (309) 671-4681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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