Individual
CHRISTINE MARIE MANCILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1646 S COURT ST, VISALIA, CA 93277-4962
(559) 625-8890
Mailing address
1646 S COURT ST, VISALIA, CA 93277-4962
(559) 625-8890
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
10/23/2025
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