Jessica Lynn Mangan in South Lyon - Professional
Jessica Lynn Mangan - NPI 1720149685
Jessica Lynn Mangan is a Professional in South Lyon, Michigan. Jessica Lynn Mangan practices all healthcare services and medical treatments related to Professional. The NPI Number for Jessica Lynn Mangan is 1720149685. The last update date is 2020-05-27.
Jessica Lynn Mangan's current location address is 12895 Woodgrove Dr, South Lyon, Michigan. You can contact this provider via phone number 2695988780. The mailing address for Jessica Lynn Mangan is 12895 Woodgrove Dr, South Lyon, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Lynn Mangan |
|---|---|
| Address | 12895 Woodgrove Dr, South Lyon, Michigan |
| Phone Number | 2695988780 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA, LPC, L |
NPI Number Detail
| NPI Number | 1720149685 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2020-05-27 |
Provider Mailing Address Detail
| Address | 12895 Woodgrove Dr |
|---|---|
| City | South Lyon |
| State | Michigan (MI) |
| Post Code | 481788872 |
| Phone Number | 2695988780 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 6401009818 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique identification code assigned to Jessica Lynn Mangan by the Centers for Medicare & Medicaid Services?
The Jessica Lynn Mangan has been issued the NPI (National Provider Identifier) 1720149685. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jessica Lynn Mangan's facilities are geographically located?
The facilities of Jessica Lynn Mangan are physically situated at the following location: 12895 Woodgrove Dr, South Lyon, MI, 481788872.
What is Jessica Lynn Mangan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jessica Lynn Mangan is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720149685 to Jessica Lynn Mangan?
The Centers for Medicare & Medicaid Services originally issued the 1720149685 to Jessica Lynn Mangan on 2006-12-13.
As of what date were the Jessica Lynn Mangan's details last updated?
The information pertaining to the Jessica Lynn Mangan, including its address, specialty, and other details, was most recently updated on 2020-05-27.
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