Individual
ALLISON MANGONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2449 WAWONA DR NE, BROOKHAVEN, GA 30319-3713
(404) 907-3746
Mailing address
2449 WAWONA DR NE, BROOKHAVEN, GA 30319-3713
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001876
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFT001876
COMPOSITE BOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS, & MARRIAGE AND FAMIL
GA
Enumeration date
10/23/2018
Last updated
04/28/2023
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