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NPI Code Detail

MEDICARE: BRITTANY LYNN MANGIN LPC

MEDICARE: BRITTANY LYNN MANGIN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor178.015585IL

General Provider Information

NPI Number : 1326652462
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY LYNN MANGIN LPC
Provider Business Mailing Address
First Line : 414 PLAZA DR STE 301
Second Line :
City : WESTMONT
State : IL
Zip : 60559-5508
Country : US
Telephone Number : 630-728-1744
Fax Number :
Provider Business Practice Location Address
First Line : 414 PLAZA DR STE 301
Second Line :
City : WESTMONT
State : IL
Zip : 60559-5508
Country : US
Telephone Number : 630-728-1744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2020
Last Update Date : 09/05/2020

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Directions to “ BRITTANY LYNN MANGIN LPC” Practice Location

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