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Individual

MRS. SUSAN LYNN MULLENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS LPC NCC ALPS CCAC

Contact information

Practice address
971 HARRISON AVE, YOUTH HEALTH SERVICE INC, ELKINS, WV 26241
(304) 636-9450
(304) 636-7057
Mailing address
PO BOX 1848, ELKINS, WV 26241
(304) 614-7177
(304) 636-7507

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
WVLPC1063
103T00000X
Psychologist
Primary
WVPSYCHOLOGIST783

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0023397001
WV
Enumeration date
05/01/2007
Last updated
09/11/2025
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