Individual provider · Type 1 NPI
Roberta Jacqueline Mullan, LADC
Addiction (Substance Use Disorder) Counselor · Monmouth, ME
NPI number
1376659342
Active
Practice location
256 Cressey Rd
Monmouth, ME 04259-6804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LC1420 (ME) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1376659342
Roberta Jacqueline Mullan, LADC's National Provider Identifier is 1376659342, issued on Aug 22, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Monmouth, ME. The record was last updated on Jul 8, 2007.