Individual
MARY BETH MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5150 E STOP 11 RD STE 14, INDIANAPOLIS, IN 46237-8629
(317) 889-7520
(317) 881-6450
Mailing address
5150 E STOP 11 RD STE 14, INDIANAPOLIS, IN 46237-8629
(317) 889-7520
(317) 881-6450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000759A
IN
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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