Individual
CORNELIUS MANNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8331
(360) 373-5031
Mailing address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8331
(360) 373-5031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61669137
WA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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