Individual provider · Type 1 NPI

Linda Mangrum

Professional Counselor · Stockton, CA

NPI number 1487002390 Active

Practice location

445 N San Joaquin St
Stockton, CA 95202-2026

Call (209) 444-8910 Map

Fax (209) 444-8905

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1487002390

Linda Mangrum's National Provider Identifier is 1487002390, issued on Jun 1, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stockton, CA. The record was last updated on Jun 1, 2016.