Individual
MS. FAITH M MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC LADAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LDC928
TN
101Y00000X
Counselor
LPC1692
TN
101YP2500X
Professional Counselor
1692
TN
101YP2500X
Professional Counselor
Primary
CCMH0215331
NM
Other
Enumeration date
11/08/2006
Last updated
05/06/2021
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