Individual
DONNA JO MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, CADC
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8727
(606) 523-8779
Mailing address
PO BOX 1325, CORBIN, KY 40702-1325
(606) 526-8131
(606) 528-8661
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
0626
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100282390
—
KY
Enumeration date
08/15/2013
Last updated
03/11/2015
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