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Individual

HALEY JACKSON MANGIAFESTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LMHC, LCMHC

Contact information

Practice address
111 E 3RD AVE, GASTONIA, NC 28052-4317
(704) 874-3300
(704) 874-0065
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1936
(704) 865-4614

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
014125
NY
101YM0800X
Mental Health Counselor
Primary
20182
NC

Other

Enumeration date
08/18/2021
Last updated
03/18/2026
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