MS. Lisa Rae Anderson Mangan, LCPC
NPI #1699772079 in Great Falls, Montana
Provider Information
- NPI Number
- 1699772079
- Entity Type
- Individual
- Name
- MS. Lisa Rae Anderson Mangan, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Jun 30, 2005
- Last Updated
- Apr 1, 2008
Practice Location
- Address
- 120 23RD AVE NE
- City
- Great Falls
- State
- Montana
- ZIP Code
- 59404-1445
- Phone
- (406) 453-6784
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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