Individual provider · Type 1 NPI

Marlene Michelle Mahon

Mental Health Counselor · Chicago, IL

NPI number 1508688904 Active

Practice location

1811 W North Ave Ste 402
Chicago, IL 60622-0204

Mailing address

4429 N Winchester Ave Apt 3B
Chicago, IL 60640-5847

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1508688904

Marlene Michelle Mahon's National Provider Identifier is 1508688904, issued on Oct 28, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Oct 28, 2024.