MEDICARE: RENEE A MANN MS, LPC, LMFT

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	106H00000X	Marriage & Family Therapist	T2406	OR
2	101YP2500X	Professional Counselor	C6526	OR

General Provider Information

NPI Number	:	1487146049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE A MANN MS, LPC, LMFT

Provider Business Mailing Address
First Line	:	3575 DONALD ST STE 620
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-4775
Country	:	US
Telephone Number	:	541-321-0585
Fax Number	:	541-391-5907

Provider Business Practice Location Address
First Line	:	3575 DONALD ST STE 620
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-4775
Country	:	US
Telephone Number	:	541-321-0585
Fax Number	:	541-391-5907

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

Provider Enumeration Date	:	05/30/2018
Last Update Date	:	03/30/2026

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