Individual
MRS. KRIS REBECCA MULHOLLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IMH 8623
Contact information
Practice address
12512 BRUCE B DOWNS BLVD, TAMPA, FL 33612-9209
(813) 977-8700
Mailing address
10122 BESSEMER POND CT, RIVERVIEW, FL 33578-2119
(817) 939-0693
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH 8623
FL
Other
Enumeration date
11/26/2010
Last updated
07/09/2012
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