Individual
CLARISSA YVONNE MANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 N BARRON ST, EATON, OH 45320-1704
(937) 456-7694
Mailing address
224 MARILEE DR, NEW LEBANON, OH 45345-1449
(937) 732-1930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
195797
OH
101YS0200X
School Counselor
Primary
—
—
405300000X
Prevention Professional
Primary
RA164223
OH
Other
Enumeration date
07/23/2024
Last updated
04/29/2026
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