Individual provider · Type 1 NPI
Lisa Rae Anderson Mangan, LCPC
Professional Counselor · Great Falls, MT
NPI number
1699772079
Active
Practice location
120 23rd Ave NE
Great Falls, MT 59404-1445
Fax (406) 453-6793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LCPC 762 (MT) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1699772079
Lisa Rae Anderson Mangan, LCPC's National Provider Identifier is 1699772079, issued on Jun 30, 2005. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Great Falls, MT. The record was last updated on Apr 1, 2008.