Individual provider · Type 1 NPI

Liam Mullen

Mental Health Counselor · Ashburn, VA

NPI number 1104569789 Active

Practice location

20130 Lakeview Center Plz Ste 400
Ashburn, VA 20147-5905

Mailing address

8885 Rio San Diego Dr Ste 340
San Diego, CA 92108-1669

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104569789

Liam Mullen's National Provider Identifier is 1104569789, issued on Apr 20, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ashburn, VA. The record was last updated on Jan 23, 2025.