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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JESSICA LYNN MANGAN, MA, LPC, LLP

Active Sole Proprietor

Counselor · GRAND RAPIDS, MI

Registration Details

NPI Number
1720149685
Provider Type
Individual
Gender
Female
NPI Issued
Dec 13, 2006 (19.354298592877 yrs)
Last Updated
Sep 24, 2024
Licenses
6361000886 (MI)
6401009818 (MI)
6401009818 (MI)
Sole Proprietor
Yes

Practice Information

Address
300 68TH ST SE
GRAND RAPIDS, MI, 495486927
Browse MI providers · Browse ZIP 49548
Phone
6164555270
Fax
6164555460
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Professional Counselor
Additional Specialty
Counselor

Other Counselor Providers in GRAND RAPIDS, MI

Name Credential NPI
WENDY LOU GORNICK-MAYCROFT MA, LPC 1740351014
MS. HEATHER LYN GARDNER MA, LLP, LLPC 1427273648
MR. JOHN M MATIAS M.A. 1174740427
JIM E HOUSEMAN CSW 1497963201
SEAN A ROBINSON LLPC 1477762367
MRS. DILLENE JOANNA VAN BEEK BS 1386844942
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.