Individual
MICHAEL T. MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLP, LPC
Contact information
Practice address
3124 N WELLNESS DR STE 50, HOLLAND, MI 49424-8121
(616) 805-3660
(616) 805-3631
Mailing address
PO BOX 1252, HOLLAND, MI 49422-1252
(616) 448-9010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008698
MI
103TC1900X
Counseling Psychologist
6361004487
MI
Other
Enumeration date
09/05/2007
Last updated
08/23/2022
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