Organization
THE MANE MISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MASON HULLEY LPC (THERAPIST)
(970) 531-6470
Entity
Organization
Contact information
Practice address
3658 N PERRY PARK RD, SEDALIA, CO 80135-8601
(970) 531-6470
Mailing address
3658 N PERRY PARK RD, SEDALIA, CO 80135-8601
(970) 531-6470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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