Individual
CARLY A MANKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 N OAKES AVE STE A2, CLE ELUM, WA 98922-1273
(509) 961-0547
Mailing address
PO BOX 346, NACHES, WA 98937-0346
(509) 961-0547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LW60834632
WA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/18/2011
Last updated
09/14/2020
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