Individual
MRS. KIMBERLY MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
700 10TH AVE SOUTH, COLUMBUS, MS 39701
(662) 352-9484
Mailing address
700 10TH AVE SOUTH, COLUMBUS, MS 39701
(662) 352-9484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1192
MS
Other
Enumeration date
11/01/2006
Last updated
01/05/2015
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