Individual
MS. MARCIA LYNN MULLIKIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3641 KIMBALL AVE, WATERLOO, IA 50702-5757
(319) 236-8298
(319) 236-8298
Mailing address
3641 KIMBALL AVE, WATERLOO, IA 50702-5757
(319) 236-8298
(319) 236-8298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0037
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159256
PROVIDER ID COMPSYCH
IA
01
—
269934
PROVIDER ID VALUE OPTIONS
IA
Enumeration date
02/02/2006
Last updated
07/08/2007
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