Individual provider · Type 1 NPI

Minda Kay Mull, CDCI

Addiction (Substance Use Disorder) Counselor · Fairbanks, AK

NPI number 1649474834 Active

Practice location

3100 S Cushman St
Fairbanks, AK 99701-7516

Fax (907) 456-4849

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2934 (AK)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1649474834

Minda Kay Mull, CDCI's National Provider Identifier is 1649474834, issued on Jun 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 8, 2007.