Provider Demographics
NPI:1861508673
Name:MCMANUS, DANIEL F (LMHC, LADCI, CADAC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:F
Last Name:MCMANUS
Suffix:
Gender:M
Credentials:LMHC, LADCI, CADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-1039
Mailing Address - Country:US
Mailing Address - Phone:978-697-3978
Mailing Address - Fax:978-283-9797
Practice Address - Street 1:61 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-5929
Practice Address - Country:US
Practice Address - Phone:978-283-9797
Practice Address - Fax:978-283-9797
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALADCI 1770101YA0400X
MALMHC 4173101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)