Doctor Name: | CALVIN J. MANNING |
NPI Number: | 1255629754 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCA |
License Number: | 2037 |
Business Practice Address: | 405 Nc Highway 65 Wentworth, NC - 243750355 |
Business Phone Number: | 3363428412 |
Business Fax Number: | 3364328330 |
Mailing Address: | 2129 Statesville Blvd, SALISBURY |
State: | NC |
Postal Code: | 281471411 |
Phone Number: | 7046333616 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2011 |
NPI Last Update Date: | 07/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2037 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |