Individual
AHMED 'A.J.' MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
11523 KANIS RD, SUITE B, LITTLE ROCK, AR 72211-3724
(501) 366-0282
(501) 712-1385
Mailing address
11523 KANIS RD, SUITE B, LITTLE ROCK, AR 72211-3724
(501) 366-0282
(501) 712-1385
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0107024
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204391719
—
AR
Enumeration date
01/22/2014
Last updated
01/07/2016
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