Organization
MUTLICK PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA MUTLICK LMHC (OWNER)
(978) 427-3733
Entity
Organization
Contact information
Practice address
139 BILLERICA RD # A-1, CHELMSFORD, MA 01824-3633
(978) 427-3733
Mailing address
139 BILLERICA RD # A-1, CHELMSFORD, MA 01824-3633
(978) 427-3733
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760931158
NPI
MA
Enumeration date
08/03/2022
Last updated
08/03/2022
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