Individual provider · Type 1 NPI
Michael Mahan, LCSW, LCDC
Addiction (Substance Use Disorder) Counselor · Austin, TX
NPI number
1730634072
Active
Practice location
6633 E Highway 290, Suite 212
Austin, TX 78723-1172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11603 (TX) |
| Clinical Social Worker | 1041C0700X | 55657 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730634072
Michael Mahan, LCSW, LCDC's National Provider Identifier is 1730634072, issued on Aug 16, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Austin, TX. The record was last updated on Aug 16, 2016.