Individual
MICHAEL JOHN MANOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMHC
Contact information
Practice address
936 SUMMER ST, EAU CLAIRE, WI 54701-4240
(206) 713-1521
Mailing address
936 SUMMER ST, EAU CLAIRE, WI 54701-4240
(206) 713-1521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4520-125
WI
101YM0800X
Mental Health Counselor
6401013624
MI
101YM0800X
Mental Health Counselor
Primary
LH00006162
WA
101YP2500X
Professional Counselor
—
MI
101YP2500X
Professional Counselor
—
WI
Other
Enumeration date
10/25/2017
Last updated
07/27/2023
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