Individual
RICHARD J MANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.W. , CAP
Contact information
Practice address
7664 S FEDERAL HWY # US1, PORT SAINT LUCIE, FL 34952-2315
(772) 245-0075
Mailing address
7664 S FEDERAL HWY # US1, PORT SAINT LUCIE, FL 34952-2315
(772) 245-0075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5814
FL
Other
Enumeration date
02/02/2014
Last updated
02/02/2014
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