Individual provider · Type 1 NPI

Lisa Ann Mangold, LPC

Mental Health Counselor · Anderson, SC

NPI number 1750716205 Active

Practice location

125 Muddy Toes Dr
Anderson, SC 29626-5349

Call (864) 353-3384 Map

Fax (864) 222-9715

Mailing address

127 Grand Oak Cir
Pendleton, SC 29670-1648

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X67967 (TX)
Mental Health Counselor Primary 101YM0800X5605 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1750716205

Lisa Ann Mangold, LPC's National Provider Identifier is 1750716205, issued on Sep 3, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Anderson, SC. The record was last updated on Jan 8, 2014.