Individual provider · Type 1 NPI

Cory Shane Mann

Addiction (Substance Use Disorder) Counselor · Bishop, CA

NPI number 1699360883 Active

Practice location

1360 N Main St
Bishop, CA 93514-3013

Call (760) 873-5577 Map

Specialties and licenses

TaxonomyCodeLicense
Homemaker 376J00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI33360721 (CA)

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

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About NPI 1699360883

Cory Shane Mann's National Provider Identifier is 1699360883, issued on Mar 9, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bishop, CA. The record was last updated on Jan 28, 2022.