Provider Demographics
NPI:1043584048
Name:MANARD, WILLIAM HENRI
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:HENRI
Last Name:MANARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6778 E BONANZA RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-4156
Mailing Address - Country:US
Mailing Address - Phone:702-469-3042
Mailing Address - Fax:702-459-5584
Practice Address - Street 1:2770 S MARYLAND PKWY
Practice Address - Street 2:SUITE 211
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1554
Practice Address - Country:US
Practice Address - Phone:702-675-3400
Practice Address - Fax:702-675-3403
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor