Individual
MRS. JULIE FORESTER MANGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP, MS, MA
Contact information
Practice address
805 BRADFORD AVE, NASHVILLE, TN 37204-2105
(615) 715-8915
Mailing address
805 BRADFORD AVE, NASHVILLE, TN 37204-2105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3606
TN
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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