Individual
JONATHAN MICHAEL MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
13578 E 131ST ST STE 260, FISHERS, IN 46037-6401
(317) 827-7870
Mailing address
8635 N CRESTVIEW TRL, MCCORDSVILLE, IN 46055-6206
(217) 671-7058
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002315A
IN
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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