Individual
MAHLON MICHAEL MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1212 E COLLEGE DR, MARSHALL, MN 56258-2010
(507) 532-3236
Mailing address
1212 E COLLEGE DR, MARSHALL, MN 56258-2010
(507) 532-3236
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30196
MN
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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