Cory Shane Mann
Counselor, Addiction (Substance Use Disorder) in Bishop, CA. Individual provider (NPI-1).
NPI number1699360883
StatusActive
Last updated in NPPESJan 28, 2022
Details
- NPI
- 1699360883
- Entity type
- Individual (NPI-1)
- Name
- Mr. Cory Shane Mann
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2021
- Certification date
- Jan 28, 2022
- Last updated
- Jan 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | Ci33360721 | CA | Yes |
| 376J00000X | Homemaker | – | – |
Practice location
1360 N Main StBishop, CA 93514-3013
Phone 760-873-5577
Mailing address
1360 N Main StBishop, CA 93514-3013
Phone 760-873-5577
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Other Addiction (Substance Use Disorder) Counselor providers in Bishop, CA
- Paula Jean FriedrichsenNPI 1043802200
- Catherine Grisham, CADC-CASNPI 1245733963
- Carlos Montes De Oca Paez, B.S.- R.A.S.NPI 1740455849
- Sheila J Turner, CADC IINPI 1437718251
All 5 Addiction (Substance Use Disorder) Counselor providers in Bishop · All 451 providers in Bishop
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