Individual provider · Type 1 NPI

Ebonie Queen McMullan, M.ED

Mental Health Counselor · Lakewood, WA

NPI number 1629330188 Active

Practice location

9330 59th Ave SW
Lakewood, WA 98499-2858

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1629330188

Ebonie Queen McMullan, M.ED's National Provider Identifier is 1629330188, issued on Jun 11, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, WA. The record was last updated on Jun 11, 2012.