Mangan, Jessica Lynn

Mangan, Jessica Lynn is an sole proprietor health care provider with primary practice located at 300 68Th St Se , Grand Rapids MI 49548-6927. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mangan, Jessica Lynn can be contacted via phone (616) 455-5270.

Contact Information

Primary practice address
300 68Th St Se Grand Rapids MI 49548-6927
Phone: (616) 455-5270
Fax: (616) 455-5460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401009818 Michigan
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401009818 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6361000886 Michigan

Profile Details

NPI number 1720149685
LBN Legal business name Mangan, Jessica Lynn
Credentials MA, LPC, LLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jan 11th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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