Individual
NANCY I MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2430 S TITANIUM PL, MERIDIAN, ID 83642-6703
(208) 284-0474
Mailing address
8813 W DULCIMER ST, BOISE, ID 83709-7858
(208) 284-0474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
COUI-7203
ID
101YM0800X
Mental Health Counselor
Primary
LCPC9364
ID
Other
Enumeration date
07/11/2019
Last updated
06/01/2024
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