Individual provider · Type 1 NPI
Takoya Z. Mandigo, LPC
Professional Counselor · Dallas, TX
NPI number
1053191650
Active
Practice location
1000 E Red Bird Ln
Dallas, TX 75241-2534
Mailing address
1628 Deer Creek Dr
Desoto, TX 75115-3698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 87348 (TX) |
Professional Counselor: Definition to come...
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About NPI 1053191650
Takoya Z. Mandigo, LPC's National Provider Identifier is 1053191650, issued on Oct 2, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Oct 2, 2023.