National Provider Identifier
Jordan Re Manley, LMHC-LP
Jordan Re Manley, LMHC-LP is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Geneseo, NY and a listed phone number of (585) 243-7250.
Profile Overview
- NPI
- 1326756305
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- November 09, 2022
- Last Updated
- November 09, 2022
Practice Location
- 4600 Millennium Dr
- Geneseo, NY 14454-1197
Phone: (585) 243-7250
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1326756305
- Entity Type
- Individual
- Last Name
- Manley
- First Name
- Jordan
- Middle Name
- Re
- Credential
- LMHC-LP
- Mailing Street Address
- 4600 Millennium Dr
- Mailing City
- Geneseo
- Mailing State
- NY
- Mailing ZIP Code
- 14454-1197
- Mailing Country
- US
- Mailing Phone
- (585) 243-7250
- Practice Street Address
- 4600 Millennium Dr
- Practice City
- Geneseo
- Practice State
- NY
- Practice ZIP Code
- 14454-1197
- Practice Country
- US
- Practice Phone
- (585) 243-7250
- Enumeration Date
- November 09, 2022
- Last Updated
- November 09, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 09, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)