Individual
BRITNEY MANGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, CSAT
Contact information
Practice address
607 CORINNE ST STE A2, HATTIESBURG, MS 39401-3827
(601) 695-8875
Mailing address
607 CORINNE ST STE A2, HATTIESBURG, MS 39401-3827
(601) 695-8875
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0490
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TIN
TIN
MS
Enumeration date
09/18/2020
Last updated
02/21/2021
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