Individual
CARLIE M MANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
220 JACK MARTIN BLVD, BRICK, NJ 08724-7772
(732) 920-3434
Mailing address
220 JACK MARTIN BLVD, BRICK, NJ 08724-7772
(732) 920-3434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00539900
NJ
101YP2500X
Professional Counselor
Primary
37PC00910600
NJ
Other
Enumeration date
02/02/2022
Last updated
12/15/2022
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