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Dennis Mahoney

Counselor, Addiction (Substance Use Disorder) in Herald, CA. Individual provider (NPI-1).

NPI number1154834752
StatusActive
Last updated in NPPESApr 6, 2023

Details

NPI
1154834752
Entity type
Individual (NPI-1)
Name
Dennis Mahoney
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 6, 2017
Certification date
Apr 6, 2023
Last updated
Apr 6, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)Ci32630421CAYes

Practice location

12490 Alta Mesa Rd
Herald, CA 95638-8409

Phone 209-748-5073

Mailing address

500 22nd St
Sacramento, CA 95816-3503

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Addiction (Substance Use Disorder) Counselor providers in Herald, CA

All 9 Addiction (Substance Use Disorder) Counselor providers in Herald · All 22 providers in Herald

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