Individual provider · Type 1 NPI

Jackson McMahan-Fourman

Counselor · Whitehall, OH

NPI number 1609734540 Active

Practice location

4653 E Main St
Whitehall, OH 43213-3298

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1609734540

Jackson McMahan-Fourman's National Provider Identifier is 1609734540, issued on Jan 12, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Whitehall, OH. The record was last updated on Feb 1, 2026.