Individual
MICHELLE MALONEY-MANGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6544 FERGUSON ST, INDIANAPOLIS, IN 46220-1178
(317) 743-7343
Mailing address
2630 NORTHVIEW AVE, INDIANAPOLIS, IN 46220-3518
(317) 752-4037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001847A
IN
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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