DR. Matthew Blake Manis, PHD., BA., CLC
NPI #1215360490 in Waxahachie, Texas
Provider Information
- NPI Number
- 1215360490
- Entity Type
- Individual
- Name
- DR. Matthew Blake Manis, PHD., BA., CLC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- PHD., BA., CLC
- Enumeration Date
- Aug 12, 2013
- Last Updated
- Aug 12, 2013
Practice Location
- Address
- 1601 HWY 77 N.
- City
- Waxahachie
- State
- Texas
- ZIP Code
- 75165
- Phone
- (214) 230-1621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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