Individual
ISAAC JOHN MCGAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
2280 WA-821, YAKIMA, WA 98902
(509) 457-0990
(509) 454-4548
Mailing address
118 N 80TH AVE, YAKIMA, WA 98908-1517
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60932375
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
871512541
CAS
WA
Enumeration date
06/19/2020
Last updated
06/19/2020
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