Lisa Rae Anderson Mangan, LCPC Valid NPI

Individual provider · Professional Counselor · Great Falls, MT

NPI

1699772079

Type

Individual (Type 1)

Primary specialty

Professional Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YP2500X

License number

LCPC 762 (MT)

Sex

Female

Sole proprietor

No

Enumerated

2005-06-30

Last updated

2008-04-01