Individual
HEATHER MICHELLE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
100 KENDALL DR, LAMAR, CO 81052-3901
(719) 336-7501
(719) 336-7453
Mailing address
711 BARNES AVE, LA JUNTA, CO 81050
(719) 384-5446
(719) 384-5672
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12500
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000191036
—
CO
Enumeration date
12/20/2012
Last updated
03/16/2022
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