MARTHA MANZO NPI 1629885934

NPI Information

  • NPI: 1629885934
  • Provider Name: MARTHA MANZO
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 559 MENDOCINO CT
    ATWATER, CA
    ZIP 95301
  • Phone: (209) 357-5200

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NPI Details

Martha Manzo is an addiction (substance use disorder) counselor in Atwater, CA. Martha Manzo NPI is 1629885934. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

559 MENDOCINO CT
ATWATER, CA
ZIP 95301-230
Phone: (209) 357-5200
Fax: (209) 357-5279

The enumeration date for this NPI number is 12/11/2024 and was last updated on 12/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)R1543210124CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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