Individual
MR. MATTHEW S. MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
20 BARTON ST, SOMERVILLE, MA 02144-1508
(508) 667-3622
Mailing address
20 BARTON ST, SOMERVILLE, MA 02144-1508
(508) 667-3622
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2353
MA
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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