Individual provider · Type 1 NPI

Ebony Mullen

Mental Health Counselor · Detroit, MI

NPI number 1770317042 Active

Practice location

6309 Mack Ave
Detroit, MI 48207-2302

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6451023142 (MI)
Mental Health Counselor Primary 101YM0800X6451023142 (MI)

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About NPI 1770317042

Ebony Mullen's National Provider Identifier is 1770317042, issued on Aug 29, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Detroit, MI. The record was last updated on Sep 4, 2024.