Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDMORE MANGENA, LPC
Active Sole ProprietorEDMORE MANGENA, LPC is a Professional Counselor healthcare provider located in VALDEZ, Alaska. NPI 1629291422 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · VALDEZ, AK
Registration Details
- NPI Number
- 1629291422
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2007 (19.159539091553 yrs)
- Last Updated
- Dec 21, 2021
- License
-
PCOP916 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
911 MEALS AVENUEVALDEZ, AK, 99686Browse AK providers · Browse ZIP 99686
- Phone
- 0783528389
- Fax
- 9078341890
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in VALDEZ, AK
| Name | Credential | NPI |
|---|---|---|
| KYRA A MEYER | LPC | 1831973783 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.