Individual
ANASTASSIA MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3018 OLD MINDEN RD STE 1117, BOSSIER CITY, LA 71112-2497
(318) 584-7192
Mailing address
2175 STOCKWELL RD APT 1328, BOSSIER CITY, LA 71111-5767
(318) 499-8881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PLC8029
LA
101YP2500X
Professional Counselor
Primary
8029
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831283670
—
LA
Enumeration date
12/10/2019
Last updated
06/29/2022
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