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Individual

MRS. CHITA MULHOLLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
1000 S MAIN ST, STE. 260, GRAPEVINE, TX 76051-7513
(817) 912-0313
(817) 912-0330
Mailing address
1000 S MAIN ST, STE. 260, GRAPEVINE, TX 76051-7513
(817) 912-0313
(817) 912-0330

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17965
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16-1645342
TAX ID
TX
01
17962
LICENSED PROFESSIONAL COUNSELOR BOARD
TX
Enumeration date
11/17/2006
Last updated
07/20/2008
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