Individual
JENNIFER BURDINE MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(606) 310-3399
Mailing address
602 TOLL HOUSE CT, SHELBYVILLE, KY 40065-8301
(606) 310-3399
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
162611
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100347540
—
KY
Enumeration date
10/16/2013
Last updated
11/22/2022
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