Individual
MRS. LINDA ANN MAHLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
296 MOUACHE RD., IGNACIO, CO 81137-0296
(970) 563-4555
Mailing address
296 MOUACHE RD., IGNACIO, CO 81137-0296
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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