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Individual

DR. DENITA MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
12600 N 113TH AVE STE B9, YOUNGTOWN, AZ 85363-1163
(602) 845-0767
Mailing address
12600 N 113TH AVE STE B9, YOUNGTOWN, AZ 85363-1163
(602) 845-0767
(602) 715-0647

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
04/08/2020
Last updated
04/08/2020
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