Individual provider · Type 1 NPI
Jawan Mullen Sr., CDAC INTERN
Addiction (Substance Use Disorder) Counselor · Henderson, NV
NPI number
1124531421
Active
Practice location
5940 Moondance Ct
Henderson, NV 89011-4921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 08256-1 (NV) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1124531421
Jawan Mullen Sr., CDAC INTERN's National Provider Identifier is 1124531421, issued on Nov 8, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Henderson, NV. The record was last updated on May 28, 2026.