Mcmullen, Deborah R

Mcmullen, Deborah R is an individual health care provider with primary practice located at 893 S Main St Ste 275 , Englewood OH 45322-2814. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mcmullen, Deborah R can be contacted via phone (937) 305-7768.

Contact Information

Primary practice address
893 S Main St Ste 275 Englewood OH 45322-2814
Phone: (937) 305-7768
Fax: (937) 558-5877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 021106 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X S 0004990 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E 0002479 Ohio

Profile Details

NPI number 1770568701
LBN Legal business name Mcmullen, Deborah R
Credentials PCC-SC, LICDC, LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jul 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770568701 NPPES
Ohio MEDICAID 2272231

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