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Individual

SUZANNA MULLENNEAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
301 W BURLINGTON, FAIRFIELD, IA 52556-3242
(641) 472-5771
(641) 472-1817
Mailing address
301 W BURLINGTON AVE, FAIRFIELD, IA 52556-3242
(641) 472-1684
(641) 472-4609

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00968
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107314000
IOWA PLAN
IA
Enumeration date
10/05/2006
Last updated
05/13/2026
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