Individual
AMANDA MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21155 LEXWOOD DR, SUITE C, LEXINGTON PARK, MD 20653-4385
(301) 373-3065
Mailing address
PO BOX 129, HOLLYWOOD, MD 20636-0129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681701700
—
MD
Enumeration date
08/03/2016
Last updated
08/03/2016
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