Provider / Organization | NPI | Date Certified |
---|---|---|
BROOK PATRICE MULLEN | 1427878628 | 2024-10-12 |
Brook Patrice Mullen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1427878628. Registration indicates Brook Patrice Mullen is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Brook Patrice Mullen |
Practice Office Address | 11509 212TH ST LAKEWOOD, CA US |
Practice Office Telephone | 5624128187 |
Mailing Address | 11509 212TH ST LAKEWOOD, CA 907152054 US |
Business Telephone | 5624128187 |
Code | Practice | License No State |
---|---|---|
101YA0400X PRIMARY | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor |
CA |