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Individual

CAITLIN MAHONEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
320 11TH AVE S STE 204, NAMPA, ID 83651-5074
(208) 515-7661
Mailing address
1109 E PALERMO ST, MERIDIAN, ID 83642-7849
(541) 430-6898

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10179
ID

Other

Enumeration date
02/01/2024
Last updated
03/06/2024
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