Doctor Name: | MRS. CHRISTINE N MANGETTE |
NPI Number: | 1265751978 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | 0801131 |
License Number: | S0801131 |
Business Practice Address: | 950 Meadow Dr Ste A Mount Gilead, OH - 433381389 |
Business Phone Number: | 4199474560 |
Business Fax Number: | 4199472956 |
Mailing Address: | 950 Meadow Dr Ste A, MOUNT GILEAD |
State: | OH |
Postal Code: | 433381389 |
Phone Number: | 4199474560 |
Fax Number: | 4199472956 |
NPI Enumeration Date: | 05/19/2010 |
NPI Last Update Date: | 05/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | S0801131 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |