MEDICARE: CARI MANITEAU MA, LPC, CAADC

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	101YP2500X	Professional Counselor	6401222334

General Provider Information

NPI Number	:	1720475957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARI MANITEAU MA, LPC, CAADC

Provider Business Mailing Address
First Line	:	409 N MISSION ST
Second Line	:
City	:	MT PLEASANT
State	:	MI
Zip	:	48858-1825
Country	:	US
Telephone Number	:	989-294-2176
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 N MISSION ST
Second Line	:
City	:	MT PLEASANT
State	:	MI
Zip	:	48858-1825
Country	:	US
Telephone Number	:	989-294-2176
Fax Number	:

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

Provider Enumeration Date	:	04/26/2015
Last Update Date	:	12/01/2025

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