Individual
MR. COURTNEY J MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCC, LPC
Contact information
Practice address
501 E MAHONEY AVE, BUCKEYE, AZ 85326-3223
(623) 386-6365
Mailing address
14175 W INDIAN SCHOOL RD, STE B4 #438, GOODYEAR, AZ 85395-8407
(602) 617-6209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12699
AZ
Other
Enumeration date
11/01/2008
Last updated
11/01/2008
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