Individual
AMANDA M MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
7795 SAINT GERTRUDE AVE, RALEIGH, ND 58564-4103
(701) 597-3419
Mailing address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 656-2200
(701) 665-2300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1801
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
08/09/2016
Last updated
04/14/2025
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