Provider Demographics
NPI:1366796716
Name:LOHREY, MANZALER ORIETTA (MA, LPCC)
Entity type:Individual
Prefix:MRS
First Name:MANZALER
Middle Name:ORIETTA
Last Name:LOHREY
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:MRS
Other - First Name:MANZALER
Other - Middle Name:O
Other - Last Name:TOWEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:7471 DEVIN LN
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-7027
Mailing Address - Country:US
Mailing Address - Phone:639-570-5737
Mailing Address - Fax:763-307-6072
Practice Address - Street 1:7471 DEVIN LN
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379
Practice Address - Country:US
Practice Address - Phone:639-570-5737
Practice Address - Fax:763-307-6072
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC01328101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional