Individual provider · Type 1 NPI

Michael John McMullen, LAC

Addiction (Substance Use Disorder) Counselor · Fargo, ND

NPI number 1962058826 Active

Practice location

4227 9th Ave S
Fargo, ND 58103-2018

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1859 (ND)

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

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About NPI 1962058826

Michael John McMullen, LAC's National Provider Identifier is 1962058826, issued on Aug 15, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fargo, ND. The record was last updated on Aug 15, 2019.