Individual
MRS. SANDRA JOHNSON MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
40 12TH ST, WHEELING, WV 26003-3279
(304) 233-1200
(304) 233-1269
Mailing address
213 WALNUT DR., VENETIA, PA 15367
(724) 941-1615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1633
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107508
CIGNA
—
01
—
261693
COMPYSCH
—
01
—
342868
MANAGED HEALTH NETWORK
—
01
—
466489
VALUOPTIONS
—
01
—
Y584446A
HEALTH PLAN
OH
Enumeration date
01/22/2007
Last updated
07/08/2007
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