Individual
MS. BARBARA S MANALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW LCS6763
Contact information
Practice address
1101 DOVE STREET, SUITE 150, NEWPORT BEACH, CA 92660
(949) 476-2036
Mailing address
1101 DOVE STREET, # 150, NEWPORT BEACH, CA 92660
(949) 476-2036
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
LCS6763
CA
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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