Individual
MRS. COURTNEY L. CIESLAK-MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPP
Contact information
Practice address
9879 ROUTE 122, MCDOWELL, KY 41647
(606) 377-3488
Mailing address
P.O. BOX 407, MCDOWELL, KY 41647
(606) 548-1397
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
115835
KY
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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