Individual
MRS. DIANE MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, RN
Contact information
Practice address
133 FRANKLIN CORNER RD, 2ND FLOOR PSYCHOTHERAPY SUITE, LAWRENCEVILLE, NJ 08648-2531
(609) 937-5881
Mailing address
519 WAYNE AVE, PITMAN, NJ 08071-1725
(609) 937-5881
(856) 556-3772
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00374900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08779818
—
NJ
Enumeration date
12/08/2010
Last updated
06/02/2020
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