Individual provider · Type 1 NPI

Lydia Eden Mullane

Addiction (Substance Use Disorder) Counselor · Atwater, CA

NPI number 1891331047 Active

Practice location

559 Mendocino Ct
Atwater, CA 95301-4230

Call (209) 357-5200 Map

Mailing address

508 Mendocino Ct
Atwater, CA 95301-4230

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1891331047

Lydia Eden Mullane's National Provider Identifier is 1891331047, issued on Nov 22, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Atwater, CA. The record was last updated on Nov 22, 2019.