Johnny Leroy Manning

NPI #1265778955 in Leland, North Carolina

Provider Information

NPI Number: 1265778955
Entity Type: Individual
Name: Johnny Leroy Manning
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Dec 27, 2012
Last Updated: Dec 27, 2012

Practice Location

Address: 9408 NIGHT HARBOR DR SE
City: Leland
State: North Carolina
ZIP Code: 28451-9594
Phone: (910) 833-4113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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