Individual
ROBERT MANTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
470 HIGHWAY 96 W STE 260, SHOREVIEW, MN 55126-3216
(651) 237-3767
(651) 236-8033
Mailing address
470 HIGHWAY 96 W STE 260, SHOREVIEW, MN 55126-3216
(651) 237-3767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01387
MN
Other
Enumeration date
12/01/2016
Last updated
05/12/2024
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