Doctor Name: | MS. JEANNE E MCMAHAN |
NPI Number: | 1023341146 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 0680000520 |
Business Practice Address: | 32 Pleasant St Woodstock, VT - 050911122 |
Business Phone Number: | 6033816775 |
Business Fax Number: | |
Mailing Address: | Po Box 96, SOUTH STRAFFORD |
State: | VT |
Postal Code: | 050700096 |
Phone Number: | 8027654024 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2009 |
NPI Last Update Date: | 03/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0680000520 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |