Individual
MS. CARRIE JEAN MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 E GOBBI ST, UKIAH, CA 95482-5511
(707) 472-2922
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
(707) 472-2922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
W0501011526
CA
Other
Enumeration date
10/04/2007
Last updated
07/20/2016
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