Mahon, Rita M

Mahon, Rita M is an sole proprietor health care provider with primary practice located at 189 Wyoming St , Warsaw NY 14569-9580. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mahon, Rita M can be contacted via phone (907) 830-3243.

Contact Information

Primary practice address
189 Wyoming St Warsaw NY 14569-9580
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 996 Alaska
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW02728 Rhode Island

Profile Details

NPI number 1598079345
LBN Legal business name Mahon, Rita M
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2010
Last updated Aug 9th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598079345 NPPES
Alaska MEDICAID MH2237

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