Individual
DR. HERMAN THOMAS MULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC, LMFT
Contact information
Practice address
1999 S MAIN ST, SUITE J, BLACKSBURG, VA 24060-6634
(540) 818-0566
Mailing address
290 MOYE RD, STAFFORDSVILLE, VA 24167-3530
(540) 818-0566
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701000211
VA
106H00000X
Marriage & Family Therapist
0717000606
VA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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