Individual
KATHLEEN MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23412 COMMERCE PARK, BEACHWOOD, OH 44122-5813
(216) 400-6640
Mailing address
23412 COMMERCE PARK, BEACHWOOD, OH 44122-5813
(216) 400-6640
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E0701191SUPV
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
E0701191SUPV
OH
101YM0800X
Mental Health Counselor
E0701191SUPV
OH
Other
Enumeration date
04/16/2010
Last updated
03/18/2025
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