Individual
TRACEY MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
5217 S 28TH ST, OMAHA, NE 68107-3402
(402) 715-5446
Mailing address
5217 S 28TH ST, OMAHA, NE 68107-3402
(402) 715-5446
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1595
NE
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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