Individual
MANNA EID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3257 W 20TH ST STE 200, GREELEY, CO 80634-6550
(970) 672-4667
Mailing address
3257 W 20TH ST STE 200, GREELEY, CO 80634-6550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCC.0019843
CO
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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