Janine Linda Mangrum, M.S., L.A.D.C. Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Mcalester, OK

NPI

1124247697

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

175 (OK)

Sex

Female

Sole proprietor

No

Enumerated

2007-04-24

Last updated

2007-07-08