Individual
ANNETTE ANTHONIA MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15 HOPE RD, STAFFORD, VA 22554-7202
(540) 659-2725
Mailing address
11413 MACPHERSON CT, FREDERICKSBURG, VA 22407-2062
(540) 642-0060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010652
VA
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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