Individual provider · Type 1 NPI

Jessica Lynn Mangan, MA, LPC, LLP

Counselor · Grand Rapids, MI

NPI number 1720149685 Active

Practice location

300 68th St SE
Grand Rapids, MI 49548-6927

Call (616) 455-5270 Map

Fax (616) 455-5460

Mailing address

12895 Woodgrove Dr
South Lyon, MI 48178-8872

Other practice locations

  • 12895 Woodgrove Dr, South Lyon, MI 48178-8872 · (269) 598-8780

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X6361000886 (MI)
Professional Counselor 101YP2500X6401009818 (MI)
Counselor Primary 101Y00000X6401009818 (MI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1720149685

Jessica Lynn Mangan, MA, LPC, LLP's National Provider Identifier is 1720149685, issued on Dec 13, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 24, 2024.