Individual
KATIE MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68 MOUNT HOPE AVE STE 2, BANGOR, ME 04401-4098
(978) 879-6435
Mailing address
134 UNION ST, BREWER, ME 04412-2037
(978) 879-6435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC6539
ME
104100000X
Social Worker
LS21523
ME
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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