Christopher Douglas Mullin, LMSW | |
1209 Richardson St, Port Huron, MI 48060-3548 | |
(810) 984-5156 | |
(810) 984-5228 |
Full Name | Christopher Douglas Mullin |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1209 Richardson St, Port Huron, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336328442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Starboard Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134901481 PECOS PAC ID: 2961847629 Enrollment ID: O20240304003136 |
Mailing Address | Practice Location Address |
---|---|
Christopher Douglas Mullin, LMSW 1209 Richardson St, Port Huron, MI 48060-3548 Ph: (810) 984-5156 | Christopher Douglas Mullin, LMSW 1209 Richardson St, Port Huron, MI 48060-3548 Ph: (810) 984-5156 |
Sara M Tavora, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 520 Superior St, Port Huron, MI 48060 Phone: 810-984-4202 Fax: 810-984-8896 | |
Heather Stewart, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Callie Gunn, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Mr. Robert Marshall Ii, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Kristen M Azzinaro, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Mrs. Deborah Louise Kokoszka, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Ms. Erin Michelle Mcdaid, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2601 13th St, Port Huron, MI 48060 Phone: 810-987-9100 Fax: 810-987-9105 |