Individual
MRS. ANNA AMELIA MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4396 HIGHWAY 80, RUSTON, LA 71270-8948
(972) 358-9101
Mailing address
103 KIRVEN AVE, WAXAHACHIE, TX 75165-2401
(972) 921-5555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7668
LA
101YP2500X
Professional Counselor
Primary
66531
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66531
TEXAS STATE BOARD OF EXAMINERS AND PROFESSIONAL COUNSELORS
TX
01
—
7668
LOUISIANA LPC LICENSURE NUMBER
LA
Enumeration date
02/16/2013
Last updated
03/29/2023
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