Individual
DEMITRIUS DONYELLE MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCDC, SAP
Contact information
Practice address
6315 GULFTON ST STE 100, HOUSTON, TX 77081-1107
(713) 457-4372
(713) 457-0945
Mailing address
3100 WILCREST DR STE 155, HOUSTON, TX 77042-3549
(346) 435-6710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9450
TX
1041C0700X
Clinical Social Worker
Primary
60058
TX
Other
Enumeration date
05/30/2018
Last updated
11/17/2023
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