Individual provider · Type 1 NPI

Shane D. Mullen

Addiction (Substance Use Disorder) Counselor · Grand Island, NE

NPI number 1679386486 Active

Practice location

2112 W Faidley Ave
Grand Island, NE 68803-4670

Call (308) 398-5427 Map

Fax (308) 398-5404

Mailing address

1342 N Baltimore Ave
Hastings, NE 68901-2919

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XP-2248 (NE)

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

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About NPI 1679386486

Shane D. Mullen's National Provider Identifier is 1679386486, issued on Jan 28, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Island, NE. The record was last updated on Jan 28, 2025.