Individual provider · Type 1 NPI
Janine Linda Mangrum, M.S., L.A.D.C.
Addiction (Substance Use Disorder) Counselor · Mcalester, OK
NPI number
1124247697
Active
Practice location
1210 N West St
Mcalester, OK 74501-2306
Fax (918) 426-0004
Mailing address
PO Box 115
Savanna, OK 74565-0115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 175 (OK) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1124247697
Janine Linda Mangrum, M.S., L.A.D.C.'s National Provider Identifier is 1124247697, issued on Apr 24, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mcalester, OK. The record was last updated on Jul 8, 2007.