Individual
MR. ANDREW MULFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC, ICADC
Contact information
Practice address
1780 PALM COVE BLVD APT 109, DELRAY BEACH, FL 33445-6794
(973) 459-2146
Mailing address
1780 PALM COVE BLVD APT 109, DELRAY BEACH, FL 33445-6794
(973) 459-2146
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
801887
ICADC (ICRC-ADC)
FL
01
—
ADC-001996-2014
CAC
FL
Enumeration date
04/15/2014
Last updated
04/11/2019
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