Individual
MARTHA D MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1108 E MAIN ST STE 702, RICHMOND, VA 23219-3534
(804) 432-3015
(855) 391-0217
Mailing address
1108 E MAIN ST STE 702, RICHMOND, VA 23219-3534
(804) 432-3015
(855) 391-0217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701003809
VA
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701003809
DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
07/24/2006
Last updated
09/08/2025
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