Individual
MS. MINDA KAY MULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCI
Contact information
Practice address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-6251
(907) 456-4849
Mailing address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-6251
(907) 456-4849
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2934
AK
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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