Individual
DR. RICK MANISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LPC
Contact information
Practice address
349 INDIAN TRAIL DRIVE, FRANKLIN LAKES, NJ 07417
(862) 228-1250
Mailing address
349 INDIAN TRAIL DRIVE, FRANKLIN LAKES, NJ 07417
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00493900
NJ
Other
Enumeration date
12/01/2018
Last updated
12/01/2018
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