| Doctor Name: | PATRICIA MCMULLAN |
| NPI Number: | 1063753820 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW, LCADC |
| License Number: | 37LC0012990 |
| Business Practice Address: | 74 Brick Blvd Suite 101 Brick, NJ - 087237984 |
| Business Phone Number: | 7322994463 |
| Business Fax Number: | 7328409589 |
| Mailing Address: | 42 Virginia Dr, HOWELL |
| State: | NJ |
| Postal Code: | 077312840 |
| Phone Number: | 7322994463 |
| Fax Number: | 7328409589 |
| NPI Enumeration Date: | 03/04/2013 |
| NPI Last Update Date: | 03/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC0012990 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |