Individual
MRS. MEGAN JEAN MANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
12400 PORTLAND AVE STE 130, BURNSVILLE, MN 55337-6839
(763) 607-7817
(612) 662-8779
Mailing address
12400 PORTLAND AVE STE 130, BURNSVILLE, MN 55337-6839
(763) 607-7817
(612) 662-8779
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
02260
MN
101YP2500X
Professional Counselor
2260
MN
Other
Enumeration date
10/10/2019
Last updated
09/18/2023
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