Individual
ANNA AMELIA MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
906 W 5TH ST, CANTON, SD 57013-1532
(605) 251-4554
Mailing address
906 W 5TH ST, CANTON, SD 57013-1532
(605) 251-4554
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21031875
SD
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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