Individual provider · Type 1 NPI

Robert Mantia, MA, LPCC

Professional Counselor · Shoreview, MN

NPI number 1063955508 Active

Practice location

470 Highway 96 W Ste 260
Shoreview, MN 55126-3216

Call (651) 237-3767 Map

Fax (651) 236-8033

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC01387 (MN)

Professional Counselor: Definition to come...

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About NPI 1063955508

Robert Mantia, MA, LPCC's National Provider Identifier is 1063955508, issued on Dec 1, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shoreview, MN. The record was last updated on May 12, 2024.