Corey Manuel, L.M.H.C.
Counselor, Mental Health in Longwood, FL. Individual provider (NPI-1).
NPI number1215359583
StatusActive
Last updated in NPPESJan 6, 2014
Details
- NPI
- 1215359583
- Entity type
- Individual (NPI-1)
- Name
- Corey Manuel
- Credential
- L.M.H.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2014
- Last updated
- Jan 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MH 11048 | FL | Yes |
Practice location
740 Florida Central Pkwy#1028
Longwood, FL 32750-7651
Phone 407-774-2284
Mailing address
740 Florida Central Pkwy#1028
Longwood, FL 32750-7651
Phone 407-774-2284
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