Individual
CHRISSIE LYNN MANLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4265 S A ST, RICHMOND, IN 47374-6049
(765) 962-8843
Mailing address
4265 S A ST, RICHMOND, IN 47374-6049
(765) 962-8843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MATS
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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