Individual provider · Type 1 NPI
Herman Thomas Mullis, PhD, LPC, LMFT
Professional Counselor · Blacksburg, VA
NPI number
1104137389
Active
Practice location
1999 S Main St, Suite J
Blacksburg, VA 24060-6634
Mailing address
290 Moye Rd
Staffordsville, VA 24167-3530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 0701000211 (VA) |
| Marriage & Family Therapist | 106H00000X | 0717000606 (VA) |
Professional Counselor: Definition to come...
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About NPI 1104137389
Herman Thomas Mullis, PhD, LPC, LMFT's National Provider Identifier is 1104137389, issued on Jun 23, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Blacksburg, VA. The record was last updated on Jun 23, 2010.