Individual
KRYSTAL VELEKA MCMULLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 SC-HWY 252, ANDERSON, SC 29621
(864) 231-2600
Mailing address
2414 BULL ST STE 201, COLUMBIA, SC 29201-1906
(803) 636-5408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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