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General NPI Number Information
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NPI Number | 1972995025
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Entity Type | Individual
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Provider Name | JOSEPH MCMAHAN LMHC, MA, NCC
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Gender | Male
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Dates
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Enumeration Date | 02/26/2015
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 216 N STATE ST
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City | NORTH VERNON
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State | IN
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Zip | 47265-1453
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Country | US
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Telephone | 812-346-4468
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Fax |
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Provider Business Mailing Address
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Address Line | 645 S ROGERS ST
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City | BLOOMINGTON
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State | IN
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Zip | 47403-2353
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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