Individual
BETH K. MANGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1N121 COUNTY FARM RD STE 220, WINFIELD, IL 60190-2034
(603) 488-5846
Mailing address
1N121 COUNTY FARM RD STE 220, WINFIELD, IL 60190-2034
(630) 488-5846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1800006337
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215643
BLUE CROSS
IL
01
—
180006337
STATE LICENSE
IL
Enumeration date
12/20/2006
Last updated
08/08/2016
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