Individual
EDMORE MANGENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
911 MEALS AVENUE, VALDEZ, AK 99686
(078) 352-8389
(907) 834-1890
Mailing address
PO BOX 550, VALDEZ, AK 99686-0550
(907) 835-2249
(907) 834-1890
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PCOP916
AK
Other
Enumeration date
04/10/2007
Last updated
12/21/2021
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