Individual
KATHRYN MANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 JOHN F KENNEDY PKWY STE 200, FORT COLLINS, CO 80525-2635
(970) 889-8204
Mailing address
3500 JOHN F KENNEDY PKWY STE 200, FORT COLLINS, CO 80525-2635
(970) 889-8204
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTC.0014170
CO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/05/2019
Last updated
07/28/2021
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