MR. Darrell L Mcmullen SR., CASE MANAGER

NPI #1851896161 in Lagrange, Georgia

Provider Information

NPI Number: 1851896161
Entity Type: Individual
Name: MR. Darrell L Mcmullen SR., CASE MANAGER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Credential: CASE MANAGER
Enumeration Date: Mar 28, 2018
Last Updated: Mar 28, 2018

Practice Location

Address: 122 GORDON COMMERCIAL DR STE C
City: Lagrange
State: Georgia
ZIP Code: 30240-5754
Phone: (706) 845-4045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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