Individual
MR. VINCENT JOHN MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, ICSW, CDS,CDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00186
RI
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDS00058
RI
1041C0700X
Clinical Social Worker
008129
CT
1041C0700X
Clinical Social Worker
Primary
ISW02285
RI
Other
Enumeration date
10/17/2011
Last updated
01/06/2025
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