Individual
JEANICE PANTIER-MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
3724 JEFFERSON ST, SUITE 207, AUSTIN, TX 78731-6225
(512) 971-4592
Mailing address
3724 JEFFERSON ST, SUITE 207, AUSTIN, TX 78731-6225
(512) 971-4592
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201866
TX
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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