Individual
REBECCA MANGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
1905 10TH ST, ROCK VALLEY, IA 51247-1630
(712) 476-5245
Mailing address
PO BOX 163, ROCK VALLEY, IA 51247-0163
(712) 476-5245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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