Individual
KISA MULLIKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
104 W 4TH ST STE 103, ABERDEEN, WA 98520-3932
(360) 590-5472
Mailing address
1116 W PERRY ST, ABERDEEN, WA 98520-8009
(360) 590-5472
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
61339450
WA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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