Individual
JOHN MICHAEL MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
2640 BRESLAUER WAY, REDDING, CA 96001-4246
(530) 225-5200
Mailing address
PO BOX 496048, REDDING, CA 96049-6048
(530) 225-5200
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14921
CA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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