Mullis, Jeremy Randall

Mullis, Jeremy Randall is an individual health care provider with primary practice located at 4701 Wrightsville Avenue Bldg 1 Unit D-4 , Wilmington NC 28403-2840. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Mullis, Jeremy Randall can be contacted via phone (910) 899-4060.

Contact Information

Primary practice address
4701 Wrightsville Avenue Bldg 1 Unit D-4 Wilmington NC 28403-2840
Phone: (910) 899-4060
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4647 North Carolina

Profile Details

NPI number 1922240928
LBN Legal business name Mullis, Jeremy Randall
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2009
Last updated Apr 13th, 2022 - about 3 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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