Individual
MS. PAMELA A MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LADC
Contact information
Practice address
12 GLADE AVE, JAMAICA PLAIN, MA 02130-3313
(617) 983-5398
Mailing address
12 GLADE AVE, JAMAICA PLAIN, MA 02130-3313
(617) 983-5398
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1886
MA
101YM0800X
Mental Health Counselor
LMHC#771
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LM0805
BCBS PROVIDER NUMBER
MA
Enumeration date
07/17/2006
Last updated
09/11/2025
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