Edmore Mangena, LPC | |
911 Meals Avenue, Valdez, AK 99686 | |
(078) 352-8389 | |
(907) 834-1890 |
Full Name | Edmore Mangena |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 911 Meals Avenue, Valdez, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629291422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PCOP916 (Alaska) | Primary |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477563344 PECOS PAC ID: 0547152217 Enrollment ID: O20040326001151 |
Entity Name | City Of Valdez |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962525097 PECOS PAC ID: 9931261005 Enrollment ID: O20081224000150 |
Mailing Address | Practice Location Address |
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Edmore Mangena, LPC Po Box 550, Valdez, AK 99686-0550 Ph: (907) 835-2249 | Edmore Mangena, LPC 911 Meals Avenue, Valdez, AK 99686 Ph: (078) 352-8389 |
Dr. Amina Madeleine Turton, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 911 Meals Avenue, Valdez, AK 99686 Phone: 907-835-2838 | |
Mrs. Brianne Skilbred, MS, CDCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 911 Meals Ave, Valdez, AK 99686 Phone: 907-835-2838 Fax: 907-835-5927 | |
Kyra A Meyer, LPC Counselor Medicare: Medicare Enrolled Practice Location: 911 Meals Ave, Valdez, AK 99686 Phone: 907-835-2838 Fax: 907-834-1890 | |
Janna Gail Hancock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 911 Meals Ave., Valdez, AK 99686 Phone: 907-835-2838 | |
Jessica Janelle Colbert, CDC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 911 Meals Ave, Valdez, AK 99686 Phone: 907-835-2838 Fax: 907-835-5927 |