Individual provider · Type 1 NPI

Brian Mullervy

Counselor · Pawtucket, RI

NPI number 1467875633 Active

Practice location

101 Bacon St
Pawtucket, RI 02860-5542

Call (401) 724-8400 Map

Fax (401) 722-5280

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XCSW02074 (RI)
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1467875633

Brian Mullervy's National Provider Identifier is 1467875633, issued on Jan 24, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pawtucket, RI. The record was last updated on Jan 10, 2022.