Individual
JOSHUA PATRICK MANGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC-CC
Contact information
Practice address
110 MAIN ST STE 1306D, SACO, ME 04072-3516
(413) 822-3000
Mailing address
110 MAIN ST STE 1306D, SACO, ME 04072-3516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL4999
ME
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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