Doctor Name: | MICHELLE R MULL |
NPI Number: | 1013140631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., NCC, LPC |
License Number: | PC005234 |
Business Practice Address: | 121 Locust St Harrisburg, PA - 171011411 |
Business Phone Number: | 7177031567 |
Business Fax Number: | |
Mailing Address: | 121 Locust St, HARRISBURG |
State: | PA |
Postal Code: | 171011411 |
Phone Number: | 7177031567 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2009 |
NPI Last Update Date: | 08/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC005234 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |