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Individual

MS. ANA KAREN MANRIQUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LCDC

Contact information

Practice address
11313 GRANADOS ST, LAREDO, TX 78045-8956
(956) 286-0312
Mailing address
11313 GRANADOS ST, LAREDO, TX 78045-8956
(956) 286-0312

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14023
TX
101YP2500X
Professional Counselor
Primary
78991
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16760145
DRIVER'S LICENSE
TX
Enumeration date
01/26/2023
Last updated
01/26/2023
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