| Doctor Name: | MARY MCMANUS |
| NPI Number: | 1053776989 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCS14039 |
| Business Practice Address: | 23421 S Pointe Dr #130 Laguna Hills, CA - 926531553 |
| Business Phone Number: | 9493761786 |
| Business Fax Number: | |
| Mailing Address: | 3043 Mountain View Dr, LAGUNA BEACH |
| State: | CA |
| Postal Code: | 926512022 |
| Phone Number: | 9493761786 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2015 |
| NPI Last Update Date: | 01/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS14039 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |