Individual
REBECCA LYNN MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 W 16TH ST, MERCED, CA 95340-4710
(209) 381-5300
Mailing address
530 W 16TH ST, MERCED, CA 95340-4710
(209) 201-1557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
714
CA
101YP2500X
Professional Counselor
Primary
5788
CA
101YP2500X
Professional Counselor
714
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/30/2010
Last updated
07/21/2023
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