# MRS. GISELLE DEL CARMEN BANGO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1144523200
- **Gender:** F
- **Credential:** LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CAD0212061 | NM | — |
| 106H00000X | Marriage & Family Therapist | 1409 | NC | — |
| 106H00000X | Marriage & Family Therapist | CMF0201891 | NM | Yes |

## Other

- **Enumeration date:** 12/13/2010
- **Last updated:** 01/03/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6105307 | — | NC |
| 05 | — | 78850517 | — | NM |