Individual
MICHELLE L MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3539 THAXTON AVE SE, ALBUQUERQUE, NM 87106-1628
(505) 255-0069
Mailing address
3539 THAXTON AVE SE, ALBUQUERQUE, NM 87106-1628
(505) 255-0069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0112601
NM
Other
Enumeration date
04/22/2008
Last updated
05/01/2013
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