Individual
BRIAN MULKERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1155 MOHAWK ST, UTICA, NY 13501-3744
(315) 794-8228
Mailing address
PO BOX 8151, UTICA, NY 13505-8151
(315) 794-8228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
041133R
NY
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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