MRS. JESSICA MANGAN, MA, LPC, LLP
Counselor
Active
Individual
NPI: 1720149685
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | No | 6361000886 (MI) |
| Counselor - Professional | 101YP2500X | No | 6401009818 (MI) |
| Counselor | 101Y00000X | Yes | 6401009818 (MI) |
Frequently Asked Questions
NPI 1720149685 is the National Provider Identifier for MRS. JESSICA MANGAN, MA, LPC, LLP, a Counselor provider located in Grand Rapids, MI. This NPI was enumerated on December 13, 2006.
MRS. JESSICA MANGAN, MA, LPC, LLP practices at 300 68TH ST SE, Grand Rapids, MI 49548.
Quick Facts
- NPI
- 1720149685
- Type
- Individual
- Enumerated
- Dec 13, 2006
- Last Updated
- Sep 24, 2024
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