Shane D Mullen
NPI #1679386486 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1679386486
- Entity Type
- Individual
- Name
- Shane D Mullen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jan 28, 2025
- Last Updated
- Jan 28, 2025
Practice Location
- Address
- 2112 W FAIDLEY AVE
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803-4670
- Phone
- (308) 398-5427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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