Individual
MS. CAROL ANNE MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCACIII
Contact information
Practice address
1227 N 23RD ST, SUITE 103, GRAND JUNCTION, CO 81501-6565
(970) 549-1624
(970) 549-1626
Mailing address
1227 N 23RD ST, SUITE 103, GRAND JUNCTION, CO 81501-6565
(970) 549-1624
(970) 549-1626
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4626
CO
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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