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NPI Code Detail

MEDICARE: USHA MAHAJAN LPCC

MEDICARE: USHA MAHAJAN LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorE-0003446OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1477817000OTHERMAGELLAN HEALTH

General Provider Information

NPI Number : 1871685784
Entity Type Code : Individual
Provider Name (Legal Business Name) : USHA MAHAJAN LPCC
Provider Business Mailing Address
First Line : 6300 N MAIN ST
Second Line : SUITE 3
City : DAYTON
State : OH
Zip : 45415-3154
Country : US
Telephone Number : 937-836-7666
Fax Number : 937-832-1168
Provider Business Practice Location Address
First Line : 6300 N MAIN ST
Second Line : SUITE 3
City : DAYTON
State : OH
Zip : 45415-3154
Country : US
Telephone Number : 937-836-7666
Fax Number : 937-832-1168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 12/08/2009

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Directions to “ USHA MAHAJAN LPCC” Practice Location

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