Provider Demographics
NPI:1184817355
Name:MANION, ELIZABETH JOAN (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:JOAN
Last Name:MANION
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 E ROCKWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-3853
Mailing Address - Country:US
Mailing Address - Phone:509-535-7857
Mailing Address - Fax:509-535-7857
Practice Address - Street 1:2020 E ROCKWOOD BLVD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-3853
Practice Address - Country:US
Practice Address - Phone:509-535-7857
Practice Address - Fax:509-535-7857
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004148101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health