Provider Demographics
NPI:1376072728
Name:MANIER, CATHY (LPC, CSAC)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:MANIER
Suffix:
Gender:F
Credentials:LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 AFTON PKWY
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23702-2938
Mailing Address - Country:US
Mailing Address - Phone:917-282-5433
Mailing Address - Fax:
Practice Address - Street 1:110 AFTON PARKWAY
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23702
Practice Address - Country:US
Practice Address - Phone:917-282-5433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007117101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional