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Ms. Lisa Rae Anderson Mangan, LCPC
Professional Counselor in Great Falls, Montana
NPI 1699772079

Lisa Rae Anderson Mangan is a Professional Counselor based in Great Falls, MT and is specialized in Professional. Lisa Rae Anderson Mangan practices in Great Falls, MT and has the professional credentials of LCPC. The NPI Number for Lisa Rae Anderson Mangan is 1699772079 and holds a License No. LCPC 762 (Montana).

The current practice location address for Lisa Rae Anderson Mangan is 120 23Rd Ave Ne, Great Falls, MT and can be reached out via phone at 406-453-6784 and via fax at 406-453-6793.

Location: 120 23Rd Ave Ne, Great Falls, MT, 59404-1445
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Provider Profile Details
NPI Number
1699772079
Provider Name
Lisa Rae Anderson Mangan
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
120 23Rd Ave Ne, Great Falls, MT, 59404-1445
Phone Number
406-453-6784
Fax Number
406-453-6793
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
074938 01 MT BLUE CROSS BLUE SHIELD
0252331 05 MT
institution
Provider Business Practice Location Address Details
Address
120 23Rd Ave Ne
City
State
Zip
59404-1445
Phone Number
406-453-6784
Fax Number
406-453-6793
person
Provider Business Mailing Address Details
Address
120 23Rd Ave Ne
City
State
Zip
59404-1445
Phone Number
406-453-6784
Fax Number
406-453-6793
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC 762 (Montana)
Definition
Definition to come...
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