Individual
MS. MARSHA ELAINE MANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LPCC-S, LICDC
Contact information
Practice address
2230 CAMDEN LN, TEMPERANCE, MI 48182-2240
(419) 343-6927
Mailing address
2230 CAMDEN LN, TEMPERANCE, MI 48182-2240
(419) 343-6927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
04123
OH
101YM0800X
Mental Health Counselor
Primary
E3860
OH
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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