JENNIFER MANGUM LADAC
NPI 1265365639
Counselor - Addiction (Substance Use Disorder) in Albuquerque, NM

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since June 05, 2026

100 DEPUTY DEAN MIERA DR SW, ALBUQUERQUE, NM 87151(505) 365-7519 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennifer Mangum Ladac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MANGUM LADAC (NPI 1265365639) is an individual addiction (substance use disorder) provider in Albuquerque, New Mexico, licensed in New Mexico (CTB-2024-0658) and active in the NPI registry since June 2026. She maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1265365639

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJENNIFER MANGUMCredential: LADAC

Location Address100 DEPUTY DEAN MIERA DR SWAlbuquerque, NM 87151-1000

Mailing Address5901 Zuni Rd SeAlbuquerque, NM 87108-3073 · (505) 365-7519

Phone(505) 365-7519

Sole ProprietorNo

Enumeration DateJune 5, 2026

NPPES CertifiedJune 5, 2026

✔ NPI 1265365639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NM · CTB-2024-0658

100 DEPUTY DEAN MIERA DR SW, Albuquerque, NM 87151

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Secondary Practice Location 1

Location 15901 Zuni Rd SEAlbuquerque, NM 87108-3073 · Phone (505) 468-1560

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANICE ALTA JUAN

Social Worker