Timothy Mcmahon, LCSW, SAC-IT

NPI #1972209872 in Little Chute, Wisconsin

Provider Information

NPI Number: 1972209872
Entity Type: Individual
Name: Timothy Mcmahon, LCSW, SAC-IT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW, SAC-IT
Enumeration Date: Feb 1, 2023
Last Updated: Feb 1, 2023

Practice Location

Address: 900 WISCONSIN CT
City: Little Chute
State: Wisconsin
ZIP Code: 54140-2246
Phone: (920) 205-0088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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