MR. Cory Shane Mann

NPI #1699360883 in Bishop, California

Provider Information

NPI Number: 1699360883
Entity Type: Individual
Name: MR. Cory Shane Mann
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Mar 9, 2021
Last Updated: Jan 28, 2022

Practice Location

Address: 1360 N MAIN ST
City: Bishop
State: California
ZIP Code: 93514-3013
Phone: (760) 873-5577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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