| Doctor Name: | DEBORAH E MULLINS |
| NPI Number: | 1265777437 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | 24638 |
| Business Practice Address: | 1110 Route 55 Ste 201 Lagrangeville, NY - 125405048 |
| Business Phone Number: | 9145574088 |
| Business Fax Number: | 8452266865 |
| Mailing Address: | 146 Roosevelt Dr, POUGHQUAG |
| State: | NY |
| Postal Code: | 125705231 |
| Phone Number: | 9145574088 |
| Fax Number: | 8452266865 |
| NPI Enumeration Date: | 11/29/2012 |
| NPI Last Update Date: | 11/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 24638 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |