| Doctor Name: | JENNIFER A MANNION |
| NPI Number: | 1013115773 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC, NCC |
| License Number: | MH6734 |
| Business Practice Address: | 10921 Mcmullen Loop Riverview, FL - 335695100 |
| Business Phone Number: | 8137316957 |
| Business Fax Number: | |
| Mailing Address: | 10724 Shady Preserve Dr, RIVERVIEW |
| State: | FL |
| Postal Code: | 335799312 |
| Phone Number: | 8137316954 |
| Fax Number: | |
| NPI Enumeration Date: | 07/04/2007 |
| NPI Last Update Date: | 03/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH6734 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |