Provider Demographics
NPI:1376718098
Name:DUGGAN, MANDI RENEE (LMHC, LMFT, NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:MANDI
Middle Name:RENEE
Last Name:DUGGAN
Suffix:
Gender:F
Credentials:LMHC, LMFT, NCC, LPC
Other - Prefix:MISS
Other - First Name:MANDI
Other - Middle Name:RENEE
Other - Last Name:SJOGREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, LPC, NCC, LPC
Mailing Address - Street 1:2 STONEBURY DR
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-6616
Mailing Address - Country:US
Mailing Address - Phone:561-702-7482
Mailing Address - Fax:561-828-7720
Practice Address - Street 1:2 STONEBURY DR
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-6616
Practice Address - Country:US
Practice Address - Phone:561-702-7482
Practice Address - Fax:561-828-7720
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14621101YM0800X
FLMH8930101YM0800X
WALH61065584101YM0800X
NC2508106H00000X
FLMT2698106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist