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Edgar Ivan Manzano
Addiction (Substance Use Disorder) Psychologist in San Rafael, California
NPI 1730952573

Edgar Ivan Manzano is an Addiction (Substance Use Disorder) Psychologist based in San Rafael, CA and is specialized in Addiction (Substance Use Disorder). Edgar Ivan Manzano practices in San Rafael, CA. The NPI Number for Edgar Ivan Manzano is 1730952573 and holds a License No. (California).

The current practice location address for Edgar Ivan Manzano is 1601 2Nd St, San Rafael, CA and can be reached out via phone at 415-456-6655.

Location: 1601 2Nd St, San Rafael, CA, 94901-2712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730952573
Provider Name
Edgar Ivan Manzano
Credential
Provider Entity Type
Individual
Gender
Male
Address
1601 2Nd St, San Rafael, CA, 94901-2712
Phone Number
415-456-6655
Fax Number
Provider Enumeration Date
11/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 2Nd St
City
San Rafael
State
California
Zip
94901-2712
Phone Number
415-456-6655
Fax Number
person
Provider Business Mailing Address Details
Address
1601 2Nd St
City
San Rafael
State
California
Zip
94901-2712
Phone Number
415-456-6655
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.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
()
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
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