Individual
CHRISTINA NICOLE MANGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 E DIVISION ST, SPARTA, MI 49345-1328
(231) 729-1384
Mailing address
1355 13 MILE RD NE, SPARTA, MI 49345-8363
(231) 729-1384
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801120412
MI
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
05/07/2026
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