Individual
MICHAEL JOHN MULLAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
57 HARVARD AVE APT 1, BROOKLINE, MA 02446-6223
(857) 867-9171
Mailing address
57 HARVARD AVE APT 1, BROOKLINE, MA 02446-6223
(857) 867-9171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23189
MA
101YM0800X
Mental Health Counselor
003550
ZZ
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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