| Tom Mulhern, Ma, Lmhc | |
|
9125 Bridgeport Way Sw Ste 102 Lakewood WA 98499-2448 | |
| (253) 766-4723 | |
| (253) 904-0199 |
| Full Name | Tom Mulhern, Ma, Lmhc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9125 Bridgeport Way Sw Ste 102, Lakewood, Washington |
| Authorized Official Name and Position | Thomas Patrick Mulhern (MANAGER) |
| Authorized Official Contact | 2537664723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Mulhern, Ma, Lmhc 9125 Bridgeport Way Sw Ste 102 Lakewood WA 98499-2448 Ph: (253) 766-4723 | Tom Mulhern, Ma, Lmhc 9125 Bridgeport Way Sw Ste 102 Lakewood WA 98499-2448 Ph: (253) 766-4723 |
| NPI Number | 1225730047 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 05/19/2024 |
| Certification Date | 05/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225730047 | NPI | - | NPPES |
| 1588644876 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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