Individual
CRYSTAL MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2416 W SHAW AVE STE 107, FRESNO, CA 93711-3303
(559) 558-4051
Mailing address
3433 W SHAW AVE STE 102, FRESNO, CA 93711-3229
(559) 374-3990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW107720
CA
104100000X
Social Worker
Primary
LCSW133240
CA
Other
Enumeration date
04/05/2019
Last updated
05/15/2026
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