Individual provider · Type 1 NPI

Nicole Mullin

Mental Health Counselor · Randolph, MA

NPI number 1104100510 Active

Practice location

41 Pacella Park Dr
Randolph, MA 02368-1755

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104100510

Nicole Mullin's National Provider Identifier is 1104100510, issued on Oct 4, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Randolph, MA. The record was last updated on Oct 4, 2011.