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Individual
KEVIN FRANCIS MAHONEY
Active
Individual
KEVIN FRANCIS MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCC, LPCA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A10714
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
A10714
NC
101YM0800X
Mental Health Counselor
A10714
NC
101YP2500X
Professional Counselor
A10714
NC
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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