Doctor Name: | MS. JEAN MARIE MANTHEI |
NPI Number: | 1326438847 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, CACIII |
License Number: | LPC 4101 |
Business Practice Address: | 5160 N Union Blvd Colorado Springs, CO - 809182033 |
Business Phone Number: | 7195501011 |
Business Fax Number: | |
Mailing Address: | 322 N Prospect St, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809033120 |
Phone Number: | 7196323990 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2015 |
NPI Last Update Date: | 02/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC 4101 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |