Individual
CIARRA WATERS-MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 CONTI ST APT 3223, NEW ORLEANS, LA 70119-5334
(510) 717-0498
Mailing address
3701 CONTI ST APT 3223, NEW ORLEANS, LA 70119-5334
(510) 717-0498
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7583
LA
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
LA
Enumeration date
11/11/2016
Last updated
01/31/2024
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