Individual provider · Type 1 NPI

Christine Mangum, LPC

Professional Counselor · Boulder, CO

NPI number 1740657865 Active

Practice location

2500 30th St Ste 303
Boulder, CO 80301-1239

Call (720) 295-0059 Map

Mailing address

1455 Dixon Ave
Lafayette, CO 80026-8879

Other practice locations

  • 1333 Iris Ave, Boulder, CO 80304-2226 · (303) 443-8500

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1740657865

Christine Mangum, LPC's National Provider Identifier is 1740657865, issued on Aug 24, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boulder, CO. The record was last updated on Jul 26, 2024.