Individual
MS. SONDRA J MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
1343 VZ CR 4414, CANTON, TX 75103
(903) 963-3106
Mailing address
PO BOX 1182, VAN, TX 75790-1182
(903) 963-3106
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10491
TX
101YP2500X
Professional Counselor
10491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1627465-01
—
TX
Enumeration date
07/17/2007
Last updated
07/17/2007
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