GEORGE HERMAN MANGUAL
GEORGE MANGUAL · Counselor

Address: Substance Abuse Counseling Ctr, 4025 Tripoli Avenue, Bldg 14, San Diego, CA 92140-5000

GEORGE HERMAN MANGUAL (NPI# 1770859415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770859415
Entity Type Individual
Full Name MR. GEORGE HERMAN MANGUAL
Other Name GEORGE MANGUAL (Professional Name)
Gender Male
Credential LCSW
Other Credential LCSW
Practice Address Substance Abuse Counseling Ctr
4025 Tripoli Avenue, Bldg 14
San Diego
CA 92140-5000
Practice Telephone 6195241912
Mailing Address Po Box 80561
San Diego
CA 92138-0561
Mailing Telephone 6195341070
Enumeration Date 2012-03-27
Last Update Date 2012-03-28
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor 2400 NC Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
27419 CA Behavioral Health & Social Service Providers

Office Location

Street Address SUBSTANCE ABUSE COUNSELING CTR
4025 TRIPOLI AVENUE, BLDG 14
City SAN DIEGO
State CA
Zip Code 92140-5000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871058727 Gina Theresa Lannen · Gina Theresa Maggio Specialist/Technologist - Athletic Trainer 1600 Henderson Ave Bldg 573, San Diego, CA 92140-5000 2019-02-05

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1578828760 Derek Allen Gresko Optometrist 35000 Guadalcanal St, San Diego, CA 92140-1407 2012-07-12
1407991664 Cyril C. Balce Counselor - Mental Health 1600 Henderson Ave, San Diego, CA 92140-3841 2007-02-21
1780938209 Naval Medical Center San Diego Military Hospital 35000 Guadalcanal Ave, Bldg 596, San Diego, CA 92140 2012-11-06
1922254812 Jerome Stanley Harding II Military Health Care Provider - Independent Duty Corpsman 35000 Guadalcanal St, Branch Medical Clinic Mcrd, San Diego, CA 92140 2008-08-12
1861539488 Justin Oderkirk Emergency Medical Technician, Basic 1650 Henderson Ave, Bldg 310, San Diego, CA 92140 2007-01-31
1700185303 Rachel Ann Holloway · Rachel Ann Holloway Physician Assistant 35000 Guadalcanal Street, Bhc Mcrd, San Diego, CA 92140 2011-03-22
1750562906 Jaimer Cadang Physician Assistant 35000 Guadacanal Ave, Bldg 596, San Diego, CA 92140-0001 2007-11-15
1316197056 Gary Cherry Jr. Military Health Care Provider - Independent Duty Corpsman 35000 Guadalcanal St, Branch Medical Clinic Mcrd, San Diego, CA 92140 2008-09-30
1447426663 James E Cook Military Health Care Provider - Independent Duty Corpsman 35000 Guadalcanal St, Branch Medical Clinic Mcrd, San Diego, CA 92140 2008-05-07
1497348205 Meshach Houser Dental Hygienist 35000 Guadalcanal Ave, San Diego, Ca 92101, San Diego, CA 92140 2021-02-12
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689259806 Nathaly Jacqueline Ruiz Counselor 6560 Montezuma Rd Apt 305, San Diego, CA 92115-2819 2021-03-10
1760081376 Annel Vianey Orduno Counselor 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 2020-10-23
1689280422 Jason Vince Rather Counselor 333 Ledgewood Lane, San Diego, San Diego, CA 92114 2020-09-17
1851903751 Shawn M Sta Ines Counselor 8775 Aero Dr Ste 230, San Diego, CA 92123-1779 2020-08-20
1821607599 Tara Oneil Counselor 2383 Jefferson St Unit 3, San Diego, CA 92110-3007 2020-07-28
1881212520 Ureclaim Therapy Counselor 6331 Nancy Ridge Dr # 209, San Diego, CA 92121-6204 2020-07-09
1407480726 Autumn Weidman Counselor 2930 Cowley Way Unit 303, San Diego, CA 92117-6859 2020-02-25
1073153714 Jennifer Lynn Martinez · Jenifer Lynn Martinez Counselor 3517 Camino Del Rio S Ste 407, San Diego, CA 92108-4028 2020-01-10
1881233708 Ramin Movafaghi Counselor 3737 Murphy Canyon Rd, San Diego, CA 92123-4454 2019-12-23
1316595739 Ashley Champa Counselor 7954 Dagget St, San Diego, CA 92111-2306 2019-08-28
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Competitor

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City SAN DIEGO
Zip Code 92140

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.