Individual provider · Type 1 NPI
Edmore Mangena, LPC
Professional Counselor · Valdez, AK
NPI number
1629291422
Active
Practice location
911 Meals Avenue
Valdez, AK 99686
Fax (907) 834-1890
Mailing address
PO Box 550
Valdez, AK 99686-0550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PCOP916 (AK) |
Professional Counselor: Definition to come...
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About NPI 1629291422
Edmore Mangena, LPC's National Provider Identifier is 1629291422, issued on Apr 10, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Valdez, AK. The record was last updated on Dec 21, 2021.