Individual provider · Type 1 NPI

Grace Mullen, PSYCHOLOGY INTERN

Mental Health Counselor · Elyria, OH

NPI number 1942777362 Active

Practice location

312 3rd St
Elyria, OH 44035-5618

Mailing address

312 3rd St Entrance Holly Lane
Elyria, OH 44035-1217

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1942777362

Grace Mullen, PSYCHOLOGY INTERN's National Provider Identifier is 1942777362, issued on Oct 24, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Elyria, OH. The record was last updated on Aug 31, 2022.