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Individual

MR. JOSEPH MATTHEW MULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC, LCADC, LPC

Contact information

Practice address
350 EVERGREEN RD, LOUISVILLE, KY 40243-1010
(252) 342-0050
Mailing address
350 EVERGREEN RD STE 107, LOUISVILLE, KY 40243-1010
(252) 342-0050

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADCLAD00225099
KY
101YM0800X
Mental Health Counselor
Primary
KY-1538

Other

Enumeration date
10/28/2010
Last updated
11/08/2023
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