Individual
AMANDA L MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2060 W WHISPERING WIND DR STE 270, PHOENIX, AZ 85085-2869
(480) 653-8434
Mailing address
1910 E 8TH ST, MESA, AZ 85203-6610
(480) 258-1826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-16827
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-24512
AZ
Other
Enumeration date
02/25/2018
Last updated
01/30/2026
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