Doctor Name: | MS. JESSICA HADLEY MANNING |
NPI Number: | 1437346202 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LCAS |
License Number: | 1189 |
Business Practice Address: | 1009 N Lake Park Blvd Suite B-4 Carolina Beach, NC - 284287800 |
Business Phone Number: | 9102313265 |
Business Fax Number: | |
Mailing Address: | 409 Foxwood Ln, WILMINGTON |
State: | NC |
Postal Code: | 284093996 |
Phone Number: | 9102313265 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2007 |
NPI Last Update Date: | 04/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1189 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |