Individual
SEAN PAUL MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1466 LINCOLN AVE, SAN RAFAEL, CA 94901-2021
(415) 457-3755
Mailing address
1466 LINCOLN AVE, SAN RAFAEL, CA 94901-2021
(415) 457-3755
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
R1613470525
CA
167G00000X
Licensed Psychiatric Technician
Primary
35159
CA
Other
Enumeration date
11/05/2020
Last updated
09/02/2025
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