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Brychelle M Mullins, LCDCIII
Addiction (Substance Use Disorder) Counselor in Mansfield, Ohio
NPI 1104362060

Brychelle M Mullins is an Addiction (Substance Use Disorder) Counselor based in Mansfield, OH and is specialized in Addiction (Substance Use Disorder). Brychelle M Mullins practices in Mansfield, OH and has the professional credentials of LCDCIII. The NPI Number for Brychelle M Mullins is 1104362060 and holds a License No. CDCA.162427 (Ohio).

The current practice location address for Brychelle M Mullins is 151 Marion Ave, Mansfield, OH and can be reached out via phone at 419-774-9969 and via fax at 419-756-5642.

Location: 151 Marion Ave, Mansfield, OH, 44903-2223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104362060
Provider Name
Brychelle M Mullins
Credential
LCDCIII
Provider Entity Type
Individual
Gender
Female
Address
151 Marion Ave, Mansfield, OH, 44903-2223
Phone Number
419-774-9969
Fax Number
419-756-5642
Provider Enumeration Date
01/16/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0348641 05 OH
institution
Provider Business Practice Location Address Details
Address
151 Marion Ave
City
Mansfield
State
Ohio
Zip
44903-2223
Phone Number
419-774-9969
Fax Number
419-756-5642
person
Provider Business Mailing Address Details
Address
151 Marion Ave
City
Mansfield
State
Ohio
Zip
44903-2223
Phone Number
419-774-9969
Fax Number
419-756-5642
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
0001330 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CDCA.162427 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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