Doctor Name: | MR. THOMAS JEFFERSON MANUS |
NPI Number: | 1679977524 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCADC |
License Number: | LCA180 |
Business Practice Address: | 77 East Main Street Suite 300 Westminster, MD - 211575019 |
Business Phone Number: | 4108578448 |
Business Fax Number: | 4108570239 |
Mailing Address: | 77 East Main Street, Suite 300 WESTMINSTER |
State: | MD |
Postal Code: | 211575019 |
Phone Number: | 4108578448 |
Fax Number: | 4108570239 |
NPI Enumeration Date: | 10/21/2014 |
NPI Last Update Date: | 10/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LCA180 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |