MEDICARE: BRADLEY DUNCAN MANNING

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		CA

General Provider Information

NPI Number	:	1215895966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADLEY DUNCAN MANNING

Provider Business Mailing Address
First Line	:	116 AGNES AVE
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93458-2838
Country	:	US
Telephone Number	:	805-457-3724
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 PLAYA BLANCA CT
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93455-1747
Country	:	US
Telephone Number	:	805-361-8033
Fax Number	:

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 “ BRADLEY DUNCAN MANNING ” Practice Location

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