Individual provider · Type 1 NPI

Justin Mangold

Professional Counselor · Williamsburg, VA

NPI number 1679056535 Active

Practice location

5477 Mooretown Rd
Williamsburg, VA 23188-2108

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701003834 (VA)

Professional Counselor: Definition to come...

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About NPI 1679056535

Justin Mangold's National Provider Identifier is 1679056535, issued on Sep 7, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Williamsburg, VA. The record was last updated on Sep 7, 2018.