Individual
MR. CHRISTOPHER JOHN MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWA, LCASA
Contact information
Practice address
309 PROGRESS DR, BURGAW, NC 28425-3280
(910) 259-0668
(910) 202-9966
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 202-9966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25306
NC
1041C0700X
Clinical Social Worker
Primary
P012729
NC
Other
Enumeration date
02/08/2019
Last updated
04/19/2021
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