Individual
MICHAEL JOHN MANISCALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLPC, CACLL
Contact information
Practice address
400 STODDARD RD., MEMPHIS, MI 48041-1038
(810) 392-2167
Mailing address
112 PLEASANT ST, ROMEO, MI 48065-5141
(810) 392-2167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401009720
MI
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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