Individual provider · Type 1 NPI
Lisa Marks Mahon
Mental Health Counselor · Port Townsend, WA
NPI number
1255463303
Active
Practice location
826 Adams St.
Port Townsend, WA 98368-5506
Fax (360) 385-6387
Mailing address
P.o. Box 1001
Port Townsend, WA 98368-0008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LH00004582 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1255463303
Lisa Marks Mahon's National Provider Identifier is 1255463303, issued on Mar 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Townsend, WA. The record was last updated on Jul 8, 2007.