Individual
APRIL DAWN MANGANIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LMHC 854
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
774823
TUFTS HEALTH PLAN
MD
01
—
LM0281
BLUE CROSS/BLUE SHIELD
MA
01
—
LMFT 351
LICENSE
MA
01
—
LMHC 854
LICENSE#
MA
Enumeration date
10/04/2006
Last updated
07/08/2007
Update your record
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