Individual
PHYLLIS M MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSATP, MAC, CSAC
Contact information
Practice address
4912 W MARSHALL ST, RICHMOND, VA 23230-3127
(804) 313-6767
(888) 214-4776
Mailing address
4912 W MARSHALL ST STE C, RICHMOND, VA 23230-3127
(804) 313-6767
(888) 214-4776
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102017
VA
Other
Enumeration date
09/30/2009
Last updated
04/17/2026
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