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Individual

ERENA MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
1200 N PASEO DE ONATE, ESPANOLA, NM 87532-2687
(512) 696-8492
Mailing address
76A NM 581, ESPANOLA, NM 87532-9454
(512) 696-8492

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0209551
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CCMH0209551
STATE OF NEW MEXICO
NM
Enumeration date
08/31/2009
Last updated
03/06/2020
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