Individual provider · Type 1 NPI

Michael John Maniscalco, MA, LLPC, CACLL

Addiction (Substance Use Disorder) Counselor · Memphis, MI

NPI number 1023112166 Active

Practice location

400 Stoddard Rd.
Memphis, MI 48041-1038

Mailing address

112 Pleasant St
Romeo, MI 48065-5141

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6401009720 (MI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023112166

Michael John Maniscalco, MA, LLPC, CACLL's National Provider Identifier is 1023112166, issued on Sep 11, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Memphis, MI. The record was last updated on Jul 8, 2007.