Individual provider · Type 1 NPI
Tristian Mullen, CSW
Mental Health Counselor · Farmington, UT
NPI number
1760200455
Active
Practice location
907 W Clark Ln
Farmington, UT 84025-2695
Mailing address
1120 W 4250 S
Ogden, UT 84405-3321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 134599683502 (UT) |
Mental Health Counselor: Definition to come...
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About NPI 1760200455
Tristian Mullen, CSW's National Provider Identifier is 1760200455, issued on Oct 1, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Farmington, UT. The record was last updated on Oct 1, 2024.