Individual
MR. THOMAS JEFFERSON MANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
77 EAST MAIN STREET, SUITE 300, WESTMINSTER, MD 21157-5019
(410) 857-8448
(410) 857-0239
Mailing address
77 EAST MAIN STREET, SUITE 300, WESTMINSTER, MD 21157-5019
(410) 857-8448
(410) 857-0239
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCA180
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA180
MD
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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