Provider Demographics
NPI:1790235778
Name:MANN, JANICE LYNN (MS, LCAS, LPCA)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:LYNN
Last Name:MANN
Suffix:
Gender:F
Credentials:MS, LCAS, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 WEDGEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2226
Mailing Address - Country:US
Mailing Address - Phone:828-252-8748
Mailing Address - Fax:
Practice Address - Street 1:18 WEDGEFIELD DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806
Practice Address - Country:US
Practice Address - Phone:828-252-8748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-13
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12849101YP2500X
NCLCAS-22672101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional