Provider Demographics
NPI:1184960056
Name:MANZIONE, DARAH (MS, LPC, ACS)
Entity type:Individual
Prefix:MRS
First Name:DARAH
Middle Name:
Last Name:MANZIONE
Suffix:
Gender:F
Credentials:MS, LPC, ACS
Other - Prefix:MS
Other - First Name:DARAH
Other - Middle Name:
Other - Last Name:BEARINT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:900 ROUTE 168 STE G3
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-3233
Mailing Address - Country:US
Mailing Address - Phone:856-302-5728
Mailing Address - Fax:
Practice Address - Street 1:900 ROUTE 168 STE G3
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-3233
Practice Address - Country:US
Practice Address - Phone:856-302-5728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-21
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008278101YM0800X
NJ37PC00566800101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health