Individual
CHARLENE MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
420 SHORT PINE CIR, ORLANDO, FL 32807-6249
(407) 900-8925
Mailing address
3001 ALOMA AVE STE 107, WINTER PARK, FL 32792-3752
(407) 719-7782
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13869
FL
Other
Enumeration date
04/06/2016
Last updated
10/08/2019
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