Provider Demographics
NPI:1538773536
Name:MANKO, JAMIE ANN (LPC)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:ANN
Last Name:MANKO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:ANN
Other - Last Name:CHRISTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:533 OXFORD ST STE A
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-3353
Mailing Address - Country:US
Mailing Address - Phone:864-501-3633
Mailing Address - Fax:
Practice Address - Street 1:533 OXFORD ST STE A
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-3353
Practice Address - Country:US
Practice Address - Phone:864-501-3633
Practice Address - Fax:864-448-1766
Is Sole Proprietor?:No
Enumeration Date:2020-09-07
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8913101YP2500X
SC17-172221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional