Individual
GLADYS MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 ATLANTIC AVE # 1005, ALAMEDA, CA 94501-1148
(510) 777-8443
Mailing address
48675 SEDUM RD, FREMONT, CA 94539-7730
(510) 978-9424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
175T00000X
CA
Other
Enumeration date
09/30/2015
Last updated
11/13/2023
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