Individual
SHELLEY F MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
9263 S REDWOOD RD, WEST JORDAN, UT 84088-6571
(801) 566-0749
(801) 566-7108
Mailing address
510 E 9800 S, SANDY, UT 84070-3546
(801) 793-0620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5828209-6004
UT
Other
Enumeration date
06/26/2012
Last updated
02/10/2014
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