Individual provider · Type 1 NPI

Samantha K. Mangum

Mental Health Counselor · Boulder, CO

NPI number 1942593694 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Mailing address

1460 S Ash St
Denver, CO 80222-3628

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1942593694

Samantha K. Mangum's National Provider Identifier is 1942593694, issued on May 26, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on May 26, 2011.