Individual
ELSIE MANIGAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9407 CUMBERLAND RD, NEW KENT, VA 23124-2029
(804) 966-1747
Mailing address
9407 CUMBERLAND RD, NEW KENT, VA 23124-2029
(804) 966-1747
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013577
VA
Other
Enumeration date
05/13/2024
Last updated
07/07/2025
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