CLARA JULIANNE MANGIN NPI 1518372077

NPI Information

NPI: 1518372077
Provider Name: CLARA JULIANNE MANGIN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
12663 ASHGLEN DR S
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 517-9341
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Clara Julianne Mangin is a mental health counselor in Jacksonville, FL. Clara Julianne Mangin NPI is 1518372077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12663 ASHGLEN DR S
JACKSONVILLE, FL
ZIP 32224-350
Phone: (904) 517-9341

The enumeration date for this NPI number is 6/24/2014 and was last updated on 9/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst				No
2	101YM0800X	Counselor	Mental Health	20079	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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