Search › California › 171100000X
Jody Mangum, LAC
NPI 1548387616 · on the registry since 2007 · sole proprietor
Practice
- Address
- 625 F St
Crescent City, CA 95531 - Phone
- (707) 487-4444
- Fax
- (707) 487-2211
- Organisation at this address
- The Wellness Center
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-10-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California