Manley, Kristi Annette
Manley, Kristi Annette is an individual health care provider with primary practice located at 2701 17Th St , Rock Island IL 61201-5351. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Manley, Kristi Annette can be contacted via phone (309) 779-2031.Contact Information
Primary practice address
2701 17Th St
Rock Island IL 61201-5351
Phone: (309) 779-2031
Fax: (309) 779-2167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1972797629 |
|---|---|
| LBN Legal business name | Manley, Kristi Annette |
| Credentials | LMHC LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2007 |
| Last updated | Jun 13th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972797629 | NPPES |
| Iowa | Other | 001087 | LICENSED MENTAL HEALTH COUNSELOR |
| Iowa | Other | 180.007471 | LICENSED MENTAL HEALTH COUNSELOR |
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