Individual
BRENDA S MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
522 WILLOW ST # A, LILLY, PA 15938-1036
(814) 330-4588
Mailing address
PO BOX 154, CRESSON, PA 16630-0154
(814) 330-4588
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007875
PA
Other
Enumeration date
01/13/2015
Last updated
01/21/2021
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