Individual provider · Type 1 NPI
Mark Manfull
Professional Counselor · Austin, TX
NPI number
1952113573
Active
Practice location
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 93726 (TX) |
Professional Counselor: Definition to come...
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About NPI 1952113573
Mark Manfull's National Provider Identifier is 1952113573, issued on Jan 21, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Feb 18, 2025.