Individual
ANGELA MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5211 W GOSHEN AVE UNIT 332, VISALIA, CA 93291-8619
(559) 749-5937
Mailing address
203 N HARBOR VIEW AVE, SAN PEDRO, CA 90732-2929
(424) 533-8821
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-M1406212130
CA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/11/2017
Last updated
11/19/2024
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