Individual
TRISTIAN MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
907 W CLARK LN, FARMINGTON, UT 84025-2695
(208) 431-8013
Mailing address
1120 W 4250 S, OGDEN, UT 84405-3321
(208) 431-8013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
134599683502
UT
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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