Individual provider · Type 1 NPI
Ronald Lee Mangum, LCAS
Addiction (Substance Use Disorder) Counselor · Chapel Hill, NC
NPI number
1629214648
Active
Practice location
104 New Stateside Dr
Chapel Hill, NC 27516-1165
Fax (919) 442-1842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 539 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1629214648
Ronald Lee Mangum, LCAS's National Provider Identifier is 1629214648, issued on Dec 22, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chapel Hill, NC. The record was last updated on Aug 26, 2009.