Individual
RITA JACKSON-MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2502 N DODGE BLVD STE 190, TUCSON, AZ 85716-2675
(520) 617-0043
Mailing address
2502 N DODGE BLVD STE 190, TUCSON, AZ 85716-2675
(520) 617-0043
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-11885
AZ
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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