Individual
ANNA ELISABETH MANNING NESTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 1257, PHOENIX, OR 97535-1257
(541) 535-4133
Mailing address
PO BOX 1257, PHOENIX, OR 97535-1257
(541) 535-4133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YM0800X
OR
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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