Jennifer Mannino, LPC | |
127 N River St, Fenton, MI 48430-3800 | |
(810) 309-9355 | |
(810) 750-1152 |
Full Name | Jennifer Mannino |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 127 N River St, Fenton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528793684 | NPI | - | NPPES |
6401222784 | Other | MI | LICENSED PROFESSIONAL COUNSELOR |
6401222784 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401222784 (Michigan) | Primary |
Entity Name | J Flack Psyd Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770859001 PECOS PAC ID: 0547426264 Enrollment ID: O20120725000401 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Mannino, LPC 127 N River St, Fenton, MI 48430-3800 Ph: (810) 309-9355 | Jennifer Mannino, LPC 127 N River St, Fenton, MI 48430-3800 Ph: (810) 309-9355 |
Paul Jannakos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 W Shiawassee Ave, Suite 105, Fenton, MI 48430 Phone: 810-965-8670 Fax: 810-213-0132 | |
Jennifer Monique Prestenbach, M.A., L.L.P.C Counselor Medicare: Medicare Enrolled Practice Location: 735 Woodbine Dr, Fenton, MI 48430 Phone: 810-597-7723 | |
Tami Rolfe, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Torrey Rd Ste 100, Fenton, MI 48430 Phone: 810-494-7180 | |
Sherry Daniels, M.A., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 W Shiawasse Ave, # 104, Fenton, MI 48430 Phone: 810-629-2500 Fax: 810-629-2517 | |
Leslie Ann Krol, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2415 Owen Rd Ste F, Fenton, MI 48430 Phone: 586-604-1477 | |
Kelsy D Hoerauf, LMFT Counselor Medicare: Medicare Enrolled Practice Location: 4031 Owen Rd, Fenton, MI 48430 Phone: 810-730-5444 | |
Tiffiany S Haywood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15173 North Rd, Fenton, MI 48430 Phone: 810-208-0879 Fax: 810-866-4450 |