Individual
BERNADETTE MANGIALARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
700 W LINCOLN AVE STE 200, CHARLESTON, IL 61920-2468
(217) 238-4042
(217) 238-4053
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
180-015472
IL
Other
Enumeration date
01/13/2017
Last updated
09/12/2024
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