Individual
SHERYL MULLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MFT, LPC
Contact information
Practice address
565 UNION ST NE, SUITE 204, SALEM, OR 97301-2477
(503) 371-7393
(503) 576-2634
Mailing address
2608 CASCADIA INDUSTRIAL ST SE, SALEM, OR 97302-1159
(503) 371-7393
(503) 576-2634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2092
OR
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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