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Organization

MCMAHAN COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AHMED A.J. MCMAHAN L.P.C. (MANAGER/COUNSELOR)
(501) 366-0282
Entity
Organization

Contact information

Practice address
2200 N RODNEY PARHAM RD, 210, LITTLE ROCK, AR 72212-4140
(501) 366-0282
(501) 712-1385
Mailing address
14206 CLARBORNE CT, LITTLE ROCK, AR 72211-5589
(501) 366-0282
(501) 712-1385

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P0107024
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204391719
AR
Enumeration date
01/22/2015
Last updated
01/22/2015
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