G Thomas Manzione, LPC, CAC III

NPI #1629371539 in Nederland, Colorado

Provider Information

NPI Number: 1629371539
Entity Type: Individual
Name: G Thomas Manzione, LPC, CAC III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC, CAC III
Enumeration Date: Dec 15, 2010
Last Updated: Dec 15, 2010

Practice Location

Address: 4393 HIGHWAY 72
City: Nederland
State: Colorado
ZIP Code: 80466-9520
Phone: (720) 746-8548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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