Individual
CONSTANCE LAVERNE MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, BSL
Contact information
Practice address
1765 GOUCHER ST STE 150, JOHNSTOWN, PA 15905-1101
(814) 535-8586
Mailing address
4757 MOUNT CARMEL DR, WINDBER, PA 15963-3102
(814) 341-6679
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC014154
PA
Other
Enumeration date
07/06/2015
Last updated
06/27/2024
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