Individual
GERALDINA MULVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
710 N 8TH ST, SPRINGFIELD, IL 62702-6324
(217) 525-1064
(217) 525-1651
Mailing address
710 N 8TH ST, SPRINGFIELD, IL 62702-6324
(217) 525-1064
(217) 525-1651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.019387
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178.019387
LPC LICENSE
IL
Enumeration date
10/24/2023
Last updated
10/24/2023
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