Individual
JENNIFER LYNN MULLENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., TLLP
Contact information
Practice address
6195 MILLER RD, SWARTZ CREEK, MI 48473-1599
(810) 630-1152
(810) 630-9107
Mailing address
7208 CHARTER OAKS DR, DAVISON, MI 48423-3310
(810) 241-2928
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
L1995256
MI
Other
Enumeration date
04/19/2011
Last updated
12/14/2011
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