Individual provider · Type 1 NPI

Jennifer Mangum, LADAC

Addiction (Substance Use Disorder) Counselor · Albuquerque, NM

NPI number 1265365639 Active

Practice location

100 Deputy Dean Miera Dr SW
Albuquerque, NM 87151-1000

Call (505) 365-7519 Map

Mailing address

5901 Zuni Rd SE
Albuquerque, NM 87108-3073

Other practice locations

  • 5901 Zuni Rd SE, Albuquerque, NM 87108-3073 · (505) 468-1560

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCTB-2024-0658 (NM)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1265365639

Jennifer Mangum, LADAC's National Provider Identifier is 1265365639, issued on Jun 5, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 5, 2026.