Individual
CHARLES DUSTIN MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
851 COMMERCE BLVD, SCRANTON, PA 18519-1759
(570) 489-5561
Mailing address
201 MEADOW MNR, SCRANTON, PA 18505-2363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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