MEDICARE: DANELL MANN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		MD

General Provider Information

NPI Number	:	1164380051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANELL MANN

Provider Business Mailing Address
First Line	:	5024 CAMPBELL BLVD
Second Line	:
City	:	NOTTINGHAM
State	:	MD
Zip	:	21236
Country	:	US
Telephone Number	:	443-449-1134
Fax Number	:	443-449-1134

Provider Business Practice Location Address
First Line	:	5024 CAMPBELL BLVD
Second Line	:
City	:	NOTTINGHAM
State	:	MD
Zip	:	21236
Country	:	US
Telephone Number	:	443-449-1134
Fax Number	:	443-449-1134

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ DANELL MANN ” Practice Location

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