Individual
CHEYENNE MULLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 271-0329
Mailing address
2819 PRENDA DE ORO NW, ALBUQUERQUE, NM 87120-1365
(512) 673-6934
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
05/11/2021
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