Individual provider · Type 1 NPI

Jacquelyn Mantooth, LPC

Professional Counselor · Oak Ridge, TN

NPI number 1700505948 Active

Practice location

240 W Tyrone Rd
Oak Ridge, TN 37830-6571

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5630 (TN)

Professional Counselor: Definition to come...

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About NPI 1700505948

Jacquelyn Mantooth, LPC's National Provider Identifier is 1700505948, issued on Aug 23, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oak Ridge, TN. The record was last updated on Aug 23, 2022.