Individual
MS. STEPHANIE GABRIELLE MANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MRC, LPCC
Contact information
Practice address
1092 DUVAL ST, 250, LEXINGTON, KY 40515-8908
(859) 523-7383
(859) 523-7384
Mailing address
1092 DUVAL ST, 250, LEXINGTON, KY 40515-8908
(859) 523-7383
(859) 523-7384
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
KY-1597
KY
101YM0800X
Mental Health Counselor
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—
Other
Enumeration date
01/25/2012
Last updated
11/14/2013
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