| Bryan Manion, Life Coach | |
|
206 N Randolph St Champaign IL 61820-3949 | |
| (217) 474-8455 | |
| Not Available |
| Full Name | Bryan Manion, Life Coach |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 206 N Randolph St, Champaign, Illinois |
| Authorized Official Name and Position | Bryan Myles Manion (OWNER) |
| Authorized Official Contact | 2174748455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Manion, Life Coach Po Box 934 Champaign IL 61824-0934 Ph: (217) 474-8455 | Bryan Manion, Life Coach 206 N Randolph St Champaign IL 61820-3949 Ph: (217) 474-8455 |
| NPI Number | 1912266297 |
|---|---|
| Provider Enumeration Date | 05/08/2012 |
| Last Update Date | 05/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912266297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.006836 (Illinois) | Primary |
| 101YP2500X | Counselor - Professional | 180.006836 (Illinois) | Secondary |
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