Provider Demographics
NPI:1942633615
Name:LAMANNA, JAIME (MS ED, LMHC)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:LAMANNA
Suffix:
Gender:F
Credentials:MS ED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 DANIELS ST
Mailing Address - Street 2:
Mailing Address - City:SENECA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13148-1110
Mailing Address - Country:US
Mailing Address - Phone:315-254-4691
Mailing Address - Fax:
Practice Address - Street 1:66 W BAYARD ST
Practice Address - Street 2:
Practice Address - City:SENECA FALLS
Practice Address - State:NY
Practice Address - Zip Code:13148-1814
Practice Address - Country:US
Practice Address - Phone:315-254-4691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004315-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health