Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jennifer Johnson Mangine, BA, RAS, SUDC-C

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568785368

Mrs. Jennifer Johnson Mangine, BA, RAS, SUDC-C is an Addiction (Substance Use Disorder) Counselor in Visalia, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

1845 S Court St
Visalia, CA 93277-5423
Phone: (559) 732-5559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence M1202071247 (CA)

Record details

NPI number1568785368
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA , RAS , SUDC-C
Sole proprietorYes
NPI enumeratedMarch 8, 2010
Last updated in NPPESDecember 2, 2021
Certification dateDecember 2, 2021

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