Individual
GUY-MANNO CINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBS
Contact information
Practice address
6136 BUSTLETON AVE, PHILADELPHIA, PA 19149-3430
(267) 581-4081
Mailing address
6136 BUSTLETON AVE, PHILADELPHIA, PA 19149-3430
(267) 581-4081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BH006395
PA
171400000X
Health & Wellness Coach
—
PA
171M00000X
Case Manager/Care Coordinator
—
PA
175T00000X
Peer Specialist
—
PA
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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