Individual
ELLIA MANNERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9 PLEASANT ST, BRIDGTON, ME 04009-1119
(207) 647-3015
(207) 647-5033
Mailing address
9 PLEASANT ST, BRIDGTON, ME 04009-1119
(207) 647-3015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1749
ME
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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