Provider Demographics
NPI:1891154985
Name:MANOHARAN, CHRISTY JANISE (LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:JANISE
Last Name:MANOHARAN
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6808
Mailing Address - Country:US
Mailing Address - Phone:631-901-3214
Mailing Address - Fax:
Practice Address - Street 1:317 MEADOWBROOK DR
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6808
Practice Address - Country:US
Practice Address - Phone:631-901-3214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008737101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional