Individual
MR. ROBBIE MANGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.,NCC,LPC
Contact information
Practice address
1623 FOREST AVE, MONTGOMERY, AL 36106-1541
(334) 201-7477
Mailing address
1623 FOREST AVE, MONTGOMERY, AL 36106-1541
(334) 201-7477
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3631
AL
Other
Enumeration date
05/16/2014
Last updated
12/08/2016
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