Individual
PENNY LYNN MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2821 MUSTANG TRL, EDMOND, OK 73012-6688
(405) 973-6997
Mailing address
2821 MUSTANG TRL, EDMOND, OK 73012-6688
(405) 973-6997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
08/21/2024
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