Individual provider · Type 1 NPI

Bruce Manise, ED.M, M.A.

Professional Counselor · Vienna, VA

NPI number 1932644671 Active

Practice location

131 Park St NE # 8
Vienna, VA 22180-4641

Call (703) 582-0023 Map

Mailing address

2203 Central Ave
Vienna, VA 22182-5102

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701003313 (VA)

Professional Counselor: Definition to come...

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About NPI 1932644671

Bruce Manise, ED.M, M.A.'s National Provider Identifier is 1932644671, issued on Jan 5, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Vienna, VA. The record was last updated on Jan 5, 2017.