Individual
JOHN MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17712 JOSEPHINE ST, OMAHA, NE 68136-2023
(402) 366-3472
Mailing address
4702 N 133RD PLZ APT 111, OMAHA, NE 68164-1010
(402) 630-2016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13655
NE
Other
Enumeration date
09/30/2022
Last updated
11/14/2023
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