Individual
KRISTAL MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
6295 E KY 70, LIBERTY, KY 42539-6762
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
104258
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100280340
—
KY
Enumeration date
12/17/2012
Last updated
06/11/2021
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