| Doctor Name: | MS. JERI LYNNE MANHAL |
| NPI Number: | 1497071534 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., L.P.C., N.C.C. |
| License Number: | 215708 |
| Business Practice Address: | 1618 Williams Dr. Suite 4 Georgetown, TX - 78628 |
| Business Phone Number: | 5124155549 |
| Business Fax Number: | |
| Mailing Address: | 1618 Williams Dr., Suite 4 GEORGETOWN |
| State: | TX |
| Postal Code: | 78628 |
| Phone Number: | 5124155549 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2010 |
| NPI Last Update Date: | 04/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 215708 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| 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 |