Individual
CHRISTINE MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2500 30TH ST STE 303, BOULDER, CO 80301-1239
(720) 295-0059
Mailing address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/24/2015
Last updated
07/26/2024
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