Individual
PATRICIA RANAYE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR, LPC, SAC-IT
Contact information
Practice address
2230 S KINNICKINNIC AVE, MILWAUKEE, WI 53207-1330
(414) 419-1414
Mailing address
1830 E HOWARD AVE, SAINT FRANCIS, WI 53235-4095
(414) 419-1414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18862-130
WI
101YM0800X
Mental Health Counselor
Primary
7083-125
WI
221700000X
Art Therapist
18-141
WI
Other
Enumeration date
01/13/2020
Last updated
01/14/2020
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