Individual
MRS. CELENA MARTINA MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN, CADC-CAS
Contact information
Practice address
221 W CREST ST # 210, ESCONDIDO, CA 92025-1739
(760) 747-3424
(760) 747-3435
Mailing address
125 W MISSION AVE STE 103, ESCONDIDO, CA 92025-1721
(760) 747-3424
(760) 747-3435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
M0411260826
—
164X00000X
Licensed Vocational Nurse
Primary
239951
CA
Other
Enumeration date
08/27/2007
Last updated
05/06/2024
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