Provider Demographics
NPI:1164642385
Name:MACMANUS, BARBARA JOYCE (RHS, CDCI)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JOYCE
Last Name:MACMANUS
Suffix:
Gender:F
Credentials:RHS, CDCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:AK
Mailing Address - Zip Code:99786-0068
Mailing Address - Country:US
Mailing Address - Phone:907-445-2161
Mailing Address - Fax:907-445-2172
Practice Address - Street 1:436 5TH TED STEVENS WAY
Practice Address - Street 2:
Practice Address - City:KOTZEBUE
Practice Address - State:AK
Practice Address - Zip Code:99752
Practice Address - Country:US
Practice Address - Phone:907-445-2192
Practice Address - Fax:907-445-2172
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor