Individual provider · Type 1 NPI
Jessica Marie Mangano, MED
Professional Counselor · Hixson, TN
NPI number
1124868195
Active
Practice location
6216 Dayton Blvd Ste D
Hixson, TN 37343-2766
Mailing address
4730 Briarwood Dr
Chattanooga, TN 37416-3114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 7291 (TN) |
Professional Counselor: Definition to come...
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About NPI 1124868195
Jessica Marie Mangano, MED's National Provider Identifier is 1124868195, issued on May 28, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hixson, TN. The record was last updated on May 28, 2024.