Individual
LISA MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
27625 US HIGHWAY 98, BLDG. A, DAPHNE, AL 36526-4816
(251) 626-7959
Mailing address
PO BOX 62, MONTROSE, AL 36559-0062
(251) 202-5655
(251) 202-5707
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1506
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51593781
BLUE CROSS BLUE SHIELD OF AL
AL
Enumeration date
03/12/2009
Last updated
04/13/2017
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