Individual provider · Type 1 NPI

Johneen Manno

Mental Health Counselor · Portland, OR

NPI number 1457793200 Active

Practice location

12672 SE Stark St Bldg A
Portland, OR 97233-1058

Call (503) 657-0072 Map

Fax (503) 719-6345

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC1734 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1457793200

Johneen Manno's National Provider Identifier is 1457793200, issued on Jul 22, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 22, 2013.