Individual
MS. CONSTANCE JOYLYN MULDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S, LICDC-CS
Contact information
Practice address
7048 FRONT ST, PORTSMOUTH, OH 45662-7103
(740) 456-7079
Mailing address
PO BOX 83, WHEELERSBURG, OH 45694-0083
(740) 456-7079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
923289
OH
1041C0700X
Clinical Social Worker
Primary
0008749
OH
1041C0700X
Clinical Social Worker
3537
KY
1041C0700X
Clinical Social Worker
DP00944461
WV
Other
Enumeration date
08/31/2006
Last updated
07/28/2015
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