Individual
GAYLE MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
375 ORLEANS ST E, STILLWATER, MN 55082-5830
(651) 430-3720
(651) 351-3155
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300920
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1030939
P1
MN
01
—
106221
UC
MN
01
—
35489
HP
MN
01
—
57422KU
BCBS
MN
01
—
84-61062
UBH
MN
Enumeration date
07/27/2006
Last updated
05/17/2026
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