Individual
MICHELLE MARIE MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 SUPERIOR LN, YAKIMA, WA 98902-1623
(509) 853-4154
(509) 576-3050
Mailing address
600 SUPERIOR LN, YAKIMA, WA 98902-1623
(509) 853-4154
(509) 576-3050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60615957
WA
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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