Individual
MARJORIE SARA MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-8611
Mailing address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-8611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
522
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007655
—
VT
05
—
92-0056274
—
AK
Enumeration date
11/07/2006
Last updated
06/26/2009
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