Individual
MS. JULIE NICOLE MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC-ADP
Contact information
Practice address
280 STAFFORD RD, PRINCE FREDERICK, MD 20678-3582
(410) 535-3079
(410) 535-2220
Mailing address
PO BOX 980, PRINCE FREDERICK, MD 20678-0980
(410) 535-3079
(410) 535-2220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
ADT542
MD
Other
Enumeration date
06/20/2012
Last updated
08/25/2016
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