Individual provider · Type 1 NPI

Mani Mullen, CRC # 00002984

Mental Health Counselor · Queens Village, NY

NPI number 1922464957 Active

Practice location

7925 Winchester Blvd
Queens Village, NY 11427-2128

Fax (718) 264-5043

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1922464957

Mani Mullen, CRC # 00002984's National Provider Identifier is 1922464957, issued on Jan 6, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Queens Village, NY. The record was last updated on Jan 6, 2016.