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Individual

ANITA MULLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT, LMFT

Contact information

Practice address
2205 RIVERSTONE BLVD STE 205, CANTON, GA 30114-5250
(770) 720-5011
(770) 345-1088
Mailing address
2205 RIVERSTONE BLVD STE 205, CANTON, GA 30114-5250
(770) 720-5011
(770) 345-1088

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
106H00000X
Marriage & Family Therapist
Primary
MFT001390
GA

Other

Enumeration date
12/07/2015
Last updated
12/14/2023
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