Individual
MARY BETH MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CADC III
Contact information
Practice address
1050 REGENT ST, MADISON, WI 53715-1263
(608) 255-1116
(608) 255-1160
Mailing address
285 N JANACEK RD, BROOKFIELD, WI 53045-6102
(262) 641-9050
(262) 641-9126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
719
WI
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39310600
—
WI
Enumeration date
08/01/2006
Last updated
09/11/2025
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