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

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701000211 (VA)
Marriage & Family Therapist 106H00000X0717000606 (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.