ERIC LELAND MANGUM

VANCOUVER, WA
NPI1952950222
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  MC61349637)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-09-09
Last Update Date2024-11-05
Business Address
ERIC LELAND MANGUM
1601 E 4TH BLVD.
VANCOUVER, WA 98661
Phone number: 360-397-8246
Mailing Address
ERIC LELAND MANGUM
1221 SE ELLSWORTH RD APT V246
VANCOUVER, WA 98664-6234
Phone number: 360-831-3054