Provider Demographics
NPI:1922446806
Name:MANION, ANGELA M (LPC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:MANION
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 HANSON AVE
Mailing Address - Street 2:SUITE 170
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3126
Mailing Address - Country:US
Mailing Address - Phone:540-361-4330
Mailing Address - Fax:540-361-4331
Practice Address - Street 1:305 HANSON AVE
Practice Address - Street 2:SUITE 170
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3126
Practice Address - Country:US
Practice Address - Phone:540-361-4330
Practice Address - Fax:540-361-4331
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health