Individual
JOHN MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCA, LCAS-A, NCC
Contact information
Practice address
191 MAIN ST W, BANNER ELK, NC 28604-6967
(828) 898-3155
Mailing address
166 MOUNTAIN IVY LN, BOONE, NC 28607-6190
(301) 538-0696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-25772
NC
101YM0800X
Mental Health Counselor
Primary
A15131
NC
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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