Christine N Mangette, 0801131 LSW

Individual provider Active NPI Mental Health Counselor · Perrysville, OH

NPI 1265751978 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1265751978
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
S0801131 (OH)
Practice address
1012 Odnr Mohican 51
Perrysville, OH 44864-9407
Phone
(419) 994-0300
Fax
(419) 994-0305
NPI assigned
May 19, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
S0801131OHMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X S0801131 OH Yes

Addresses

Primary practice location

1012 Odnr Mohican 51
Perrysville, OH 44864-9407

Mailing address

1012 Odnr Mohican 51
Perrysville, OH 44864-9407
Phone (419) 994-0300

Other practice location 1

950 Meadow Dr Ste A
Mount Gilead, OH 43338-1389
Phone (419) 947-4560

Other providers in Perrysville, OH

All providers in Perrysville, OH · Mental Health Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.