Individual
FELICIA RAE MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDCII
Contact information
Practice address
421 HOME ST, GEORGETOWN, OH 45121-1407
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.174727
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.178458
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.161945
OH
Other
Enumeration date
09/16/2020
Last updated
10/25/2023
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