Individual
KELLY MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1509 EMERALD PKWY, COLLEGE STATION, TX 77845-5501
(979) 703-8292
Mailing address
1509 EMERALD PKWY, COLLEGE STATION, TX 77845-5501
(979) 703-8292
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10921
TX
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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