SearchCalifornia1041C0700X

Theb Manivanh, LCSW

NPI 1649459835 · on the registry since 2007

Practice

Address
505 N Court St
Visalia, CA 93291
Phone
(559) 730-7566
Clinicians at this address
5

Additional practice sites

  • 925 Bevins Ct, Lakeport, CA

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California