Individual
KATHLEEN MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 PEOPLES RD, SUITE 1, BELLEVUE, NE 68005-4670
(402) 682-9694
(402) 682-9678
Mailing address
PO BOX 34367, OMAHA, NE 68134-0367
(402) 393-0163
(402) 393-7187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1167
NE
1041C0700X
Clinical Social Worker
Primary
709
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111324000
—
NE
Enumeration date
07/16/2008
Last updated
07/16/2008
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