Individual
MARICAROLE MULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3621 HURST DR NE, MILLEDGEVILLE, GA 31061-7997
(478) 456-1360
Mailing address
3621 HURST DR NE, MILLEDGEVILLE, GA 31061-7997
(478) 456-1360
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012866
GA
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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