Janine Linda Mangrum, M.S., L.A.D.C.
Counselor, Addiction (Substance Use Disorder) in McAlester, OK. Individual provider (NPI-1).
NPI number1124247697
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124247697
- Entity type
- Individual (NPI-1)
- Name
- Janine Linda Mangrum
- Credential
- M.S., L.A.D.C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 175 | OK | Yes |
Practice location
1210 N West StMcAlester, OK 74501-2306
Phone 918-421-3323 · Fax 918-426-0004
Mailing address
Po Box 115Savanna, OK 74565-0115
Phone 918-548-3326
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All 50 Addiction (Substance Use Disorder) Counselor providers in McAlester · All 1,399 providers in McAlester
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