MANI FAEZ
Individual Provider (NPI-1)
Active
Marriage & Family Therapist
Provider Information
- NPI Number
1871037739- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 610 W BROADWAY AVE STE L-1, JACKSON, WY, 830018213
- Phone
- (307) 733-3908
- Fax
- (307) 734-0017
Specialties & Taxonomies
Marriage & Family Therapist
Primary License: CA #89498