Individual provider · Type 1 NPI

Katie L. Mulalley, LPC

Professional Counselor · Pocatello, ID

NPI number 1386967966 Active

Practice location

353 N 4th Ave, Ste 110
Pocatello, ID 83201-6390

Fax (208) 236-6695

Mailing address

PO Box 4908
Pocatello, ID 83205-4908

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XLPC-5000 (ID)

Professional Counselor: Definition to come...

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About NPI 1386967966

Katie L. Mulalley, LPC's National Provider Identifier is 1386967966, issued on Mar 10, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pocatello, ID. The record was last updated on Oct 11, 2012.