Individual provider · Type 1 NPI

Shelley F. Mangum, CMHC

Mental Health Counselor · West Jordan, UT

NPI number 1396009262 Active

Practice location

9263 S Redwood Rd
West Jordan, UT 84088-6571

Call (801) 566-0749 Map

Fax (801) 566-7108

Mailing address

510 E 9800 S
Sandy, UT 84070-3546

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5828209-6004 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1396009262

Shelley F. Mangum, CMHC's National Provider Identifier is 1396009262, issued on Jun 26, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Jordan, UT. The record was last updated on Feb 10, 2014.