Individual
HEATHER RENEE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
14532 US HIGHWAY 23, WAVERLY, OH 45690-9373
(740) 835-8696
Mailing address
PO BOX 27, WAVERLY, OH 45690-0027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
165424
OH
Other
Enumeration date
01/06/2018
Last updated
01/06/2018
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