Individual
G THOMAS MANZIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CAC III
Contact information
Practice address
4393 HIGHWAY 72, NEDERLAND, CO 80466-9520
(720) 746-8548
Mailing address
4393 HIGHWAY 72, NEDERLAND, CO 80466-9520
(720) 746-8548
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
745
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
2598
CO
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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