Halle Jordyn Mangurten
Counselor, Mental Health in Evanston, IL. Individual provider (NPI-1).
NPI number1649002007
StatusActive
Last updated in NPPESAug 15, 2024
Details
- NPI
- 1649002007
- Entity type
- Individual (NPI-1)
- Name
- Halle Jordyn Mangurten
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2024
- Certification date
- Aug 15, 2024
- Last updated
- Aug 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
800 Austin St Ste 312Evanston, IL 60202-3439
Phone 847-868-8664
Mailing address
800 Austin St Ste 312Evanston, IL 60202-3439
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