Individual
DR. DAVID ISAMU MANOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D. LMFT
Contact information
Practice address
355 HIGH ST SE, SALEM, OR 97301-3613
(503) 881-0513
Mailing address
355 HIGH ST SE, SALEM, OR 97301-3613
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
T0808
OR
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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