Mangum, Jessica Grace

Mangum, Jessica Grace is an sole proprietor health care provider with primary practice located at 2172 N Salem St Ste 105 , Apex NC 27523-6457. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mangum, Jessica Grace can be contacted via phone (919) 639-4360.

Contact Information

Primary practice address
2172 N Salem St Ste 105 Apex NC 27523-6457
Phone: (919) 639-4360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1316685761
LBN Legal business name Mangum, Jessica Grace
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2022
Last updated May 25th, 2022 - about 3 years 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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