MRS. Lora Jeanette Manders, MA, LLPC, CAADC, PAC

NPI #1194133082 in Tecumseh, Michigan

Provider Information

NPI Number: 1194133082
Entity Type: Individual
Name: MRS. Lora Jeanette Manders, MA, LLPC, CAADC, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MA, LLPC, CAADC, PAC
Enumeration Date: Jul 24, 2014
Last Updated: Jun 24, 2019

Practice Location

Address: 6869 S OCCIDENTAL RD
City: Tecumseh
State: Michigan
ZIP Code: 49286-9784
Phone: (517) 423-4777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Physician Assistant	363A00000X	Primary

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