Jean Madeleine Manz, LMFT
Marriage & Family Therapist in Farmington, NM. Individual provider (NPI-1).
NPI number1649503293
StatusActive
Last updated in NPPESMar 3, 2020
Details
- NPI
- 1649503293
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jean Madeleine Manz
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2009
- Certification date
- Mar 3, 2020
- Last updated
- Mar 3, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 0101581 | NM | Yes |
Practice location
3510 Messina DrFarmington, NM 87402-4782
Phone 505-716-7995
Mailing address
4773 Sunrise CirFarmington, NM 87401-9299
Phone 505-716-7995
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Marriage & Family Therapist providers in Farmington · All 2,079 providers in Farmington
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