Individual
MRS. DIANNE H MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, MDIV, LPC
Contact information
Practice address
111 MILLS AVE, GREENVILLE, SC 29605-4017
(864) 241-8222
Mailing address
111 MILLS AVE, GREENVILLE, SC 29605-4017
(864) 241-8222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5150
SC
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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