Doctor Name: | DR. MICHAEL JOSEPH MANNIA |
NPI Number: | 1003059486 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.MIN. |
License Number: | |
Business Practice Address: | 5330 Office Center Ct Suite #27 Bakersfield, CA - 933091562 |
Business Phone Number: | 6613244070 |
Business Fax Number: | |
Mailing Address: | 5330 Office Center Ct, Suite #27 BAKERSFIELD |
State: | CA |
Postal Code: | 933091562 |
Phone Number: | 6613244070 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2009 |
NPI Last Update Date: | 04/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |