Individual provider · Type 1 NPI
Jeanie Manson, LISAC
Addiction (Substance Use Disorder) Counselor · Page, AZ
NPI number
1902237191
Active
Practice location
337 N. Navajo Drive
Page, AZ 86040
Fax (928) 645-8158
Mailing address
PO Box 4466
Page, AZ 86040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-10431 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Page
About NPI 1902237191
Jeanie Manson, LISAC's National Provider Identifier is 1902237191, issued on Dec 12, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Page, AZ. The record was last updated on Dec 12, 2013.