Individual
CANDACE LYNNE MANCHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LADC
Contact information
Practice address
11840 NICHOLAS ST STE 205, OMAHA, NE 68154-4475
(402) 867-6386
Mailing address
11840 NICHOLAS ST STE 205, OMAHA, NE 68154-4475
(402) 867-6386
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10060
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
1163
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1160
NE
101YM0800X
Mental Health Counselor
1556
NE
Other
Enumeration date
08/27/2013
Last updated
08/28/2023
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