Individual
MS. KAREN ANN MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. L.P.C.
Contact information
Practice address
302 1ST ST W, SUITE 202, POLSON, MT 59860-2654
(406) 261-9321
(406) 887-9948
Mailing address
PO BOX 912, POLSON, MT 59860-0912
(406) 261-9321
(406) 887-9948
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
149
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149
LICENSE ID
MT
01
—
75600
BLUE CROSS BLUE SHIELD ID
MT
Enumeration date
08/31/2006
Last updated
07/08/2007
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