Provider Demographics
NPI:1467621763
Name:MANAHAN, CAMERON LYN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CAMERON
Middle Name:LYN
Last Name:MANAHAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:CAMI
Other - Middle Name:LYN
Other - Last Name:MANAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MANAHAN-MARTINEZ
Mailing Address - Street 1:552 RACE ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1646
Mailing Address - Country:US
Mailing Address - Phone:717-254-7022
Mailing Address - Fax:
Practice Address - Street 1:552 RACE ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104-1646
Practice Address - Country:US
Practice Address - Phone:717-254-7022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor