Provider Demographics
NPI:1598857104
Name:MCMANUS, ROBBIE RAE (MS LMHC)
Entity type:Individual
Prefix:MR
First Name:ROBBIE
Middle Name:RAE
Last Name:MCMANUS
Suffix:
Gender:M
Credentials:MS LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:897 JUNIPER PT LANE
Mailing Address - Street 2:
Mailing Address - City:CAMANO IS
Mailing Address - State:WA
Mailing Address - Zip Code:98282
Mailing Address - Country:US
Mailing Address - Phone:360-419-3531
Mailing Address - Fax:
Practice Address - Street 1:1100 SOUTH SECOND ST
Practice Address - Street 2:COMPASS NORTH
Practice Address - City:MT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273
Practice Address - Country:US
Practice Address - Phone:360-419-3500
Practice Address - Fax:360-419-3535
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIH0003986101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health