Individual provider · Type 1 NPI

Matthew Blake Manis, PHD., BA., CLC

Mental Health Counselor · Waxahachie, TX

NPI number 1215360490 Active

Practice location

1601 Hwy 77 N.
Waxahachie, TX 75165

Call (214) 230-1621 Map

Fax (972) 935-0930

Mailing address

119 Chesterfield Cir
Waxahachie, TX 75165-6362

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215360490

Matthew Blake Manis, PHD., BA., CLC's National Provider Identifier is 1215360490, issued on Aug 12, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waxahachie, TX. The record was last updated on Aug 12, 2013.