Individual
NICOLE MANNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3100 E JOHN HINKLE PL STE 104, BLOOMINGTON, IN 47408
(812) 727-4916
Mailing address
3100 JOHN HINKLE PL SUITE 104, BLOOMINGTON, IN 47408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003321A
IN
101YM0800X
Mental Health Counselor
88000259A
IN
Other
Enumeration date
02/14/2018
Last updated
09/01/2018
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