Individual
LAUREN NICOLETTE MANGRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, MA, NCC
Contact information
Practice address
152 W WARREN AVE, LONGWOOD, FL 32750-4133
(407) 865-0495
(407) 543-8351
Mailing address
206 W SYBELIA AVE, MAITLAND, FL 32751-4739
(407) 865-0495
(407) 543-8351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH23800
FL
101YM0800X
Mental Health Counselor
MH23800
FL
Other
Enumeration date
05/24/2024
Last updated
05/27/2024
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