Provider Demographics
NPI:1760701734
Name:MCMAHON, HELENA ROSE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:HELENA
Middle Name:ROSE
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 MASONIC AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3417
Mailing Address - Country:US
Mailing Address - Phone:415-929-7171
Mailing Address - Fax:415-731-7253
Practice Address - Street 1:23 MASONIC AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3417
Practice Address - Country:US
Practice Address - Phone:415-929-7171
Practice Address - Fax:415-731-7253
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42401106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA12104147OtherANTHEM BLUE CROSS