Provider Demographics
NPI:1477643419
Name:MCMANUS, STEVEN MICHAEL (LMFT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:MCMANUS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7575 GOLDEN VALLEY RD STE 305
Mailing Address - Street 2:305
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55427-4572
Mailing Address - Country:US
Mailing Address - Phone:763-546-2189
Mailing Address - Fax:763-546-2197
Practice Address - Street 1:7575 GOLDEN VALLEY RD
Practice Address - Street 2:305
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55427-4562
Practice Address - Country:US
Practice Address - Phone:763-546-2189
Practice Address - Fax:763-546-2197
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN1065106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist