| Doctor Name: | MR. MICHAEL JAMES MCMANUS |
| NPI Number: | 1568618411 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW LICSW |
| License Number: | 441119 |
| Business Practice Address: | 191 City Depot Rd Suite 102 Charlton, MA - 015075445 |
| Business Phone Number: | 5084502296 |
| Business Fax Number: | |
| Mailing Address: | 12 Curtis Hill Rd, CHARLTON |
| State: | MA |
| Postal Code: | 015071282 |
| Phone Number: | 5084502296 |
| Fax Number: | |
| NPI Enumeration Date: | 08/12/2008 |
| NPI Last Update Date: | 04/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 441119 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |