Provider Demographics
NPI:1356492250
Name:VUE, MANA (LMFT)
Entity Type:Individual
Prefix:
First Name:MANA
Middle Name:
Last Name:VUE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 EMPIRE DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55103-1856
Mailing Address - Country:US
Mailing Address - Phone:651-343-5929
Mailing Address - Fax:651-458-5255
Practice Address - Street 1:23 EMPIRE DR
Practice Address - Street 2:SUITE 105
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55103-1856
Practice Address - Country:US
Practice Address - Phone:651-343-5929
Practice Address - Fax:651-458-5255
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1470106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN6246883OtherMEDICA
MN136506OtherUCARE
MN160G9VUOtherBLUE CROSS BLUE SHIELD OF MN
MNHP52401OtherHEALTH PARTNERS
MN542473900Medicaid