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Mr. Cory Shane Mann
Addiction (Substance Use Disorder) Counselor in Bishop, California
NPI 1699360883

Cory Shane Mann is an Addiction (Substance Use Disorder) Counselor based in Bishop, CA and is specialized in Addiction (Substance Use Disorder). Cory Shane Mann practices in Bishop, CA. The NPI Number for Cory Shane Mann is 1699360883 and holds a License No. (California).

The current practice location address for Cory Shane Mann is 1360 N Main St, Bishop, CA and can be reached out via phone at 760-873-5577.

Location: 1360 N Main St, Bishop, CA, 93514-3013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699360883
Provider Name
Cory Shane Mann
Credential
Provider Entity Type
Individual
Gender
Male
Address
1360 N Main St, Bishop, CA, 93514-3013
Phone Number
760-873-5577
Fax Number
Provider Enumeration Date
03/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1360 N Main St
City
Bishop
State
California
Zip
93514-3013
Phone Number
760-873-5577
Fax Number
person
Provider Business Mailing Address Details
Address
1360 N Main St
City
Bishop
State
California
Zip
93514-3013
Phone Number
760-873-5577
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CI33360721 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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