Blaise Mongangu
Blaise Mongangu is a Mental Health Counselor in Wheaton, Illinois. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
111 N County Farm RdWheaton, IL 60187-3977
Phone: (630) 682-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1912459405 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 31, 2016 |
| Last updated in NPPES | October 31, 2016 |
| Mailing address | 111 N County Farm Rd, Wheaton, IL 60187-3977 |
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Deborah Mitchell, BA
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111 N County Farm Rd, Wheaton, IL 60187-3977 · (630) 682-7400