Individual
KATHLEEN MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
16645 15 MILE RD, CLINTON TOWNSHIP, MI 48035-2206
(586) 213-5505
Mailing address
16645 15 MILE RD, CLINTON TOWNSHIP, MI 48035-2206
(586) 213-5505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401017808
MI
101YM0800X
Mental Health Counselor
Primary
6401222289
MI
101YM0800X
Mental Health Counselor
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
01/27/2017
Last updated
07/12/2023
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