Individual
SUSAN B MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1622 7TH ST, LAS VEGAS, NM 87701-4920
(505) 757-2898
Mailing address
1622 7TH ST, LAS VEGAS, NM 87701-4920
(505) 757-2898
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0104791
NM
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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