National Provider Identifier
Michael John McMullen, LAC
Michael John McMullen, LAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Fargo, ND and a listed phone number of (701) 781-6021.
Source: public NPPES record, last updated August 15, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1962058826
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- August 15, 2019
- Last Updated
- August 15, 2019
Practice Location
- 4227 9Th Ave S
- Fargo, ND 58103-2018
Phone: (701) 781-6021
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Endpoints
- mmcmullen@sharehouse.org
Connect Url | Health Information Exchange (Hie) | Csv | Fargo, ND 58103
Work Email
Browse Similar Providers
See more Addiction (Substance Use Disorder) providers in Fargo, ND.
Open Addiction (Substance Use Disorder) providers in Fargo, ND
Biography
Michael John McMullen, LAC, is a Fargo-based addiction counselor. His public CMS registry record links his practice information with ShareHouse, a North Dakota rehabilitation organization focused on drug and alcohol treatment and mental health services in Fargo and Grand Forks.
Full Record
- NPI
- 1962058826
- Entity Type
- Individual
- Last Name
- McMullen
- First Name
- Michael
- Middle Name
- John
- Credential
- LAC
- Mailing Street Address
- 4227 9Th Ave S
- Mailing City
- Fargo
- Mailing State
- ND
- Mailing ZIP Code
- 58103-2018
- Mailing Country
- US
- Mailing Phone
- (701) 781-6021
- Practice Street Address
- 4227 9Th Ave S
- Practice City
- Fargo
- Practice State
- ND
- Practice ZIP Code
- 58103-2018
- Practice Country
- US
- Practice Phone
- (701) 781-6021
- Enumeration Date
- August 15, 2019
- Last Updated
- August 15, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 510183396 (ND, Sharehouse), 510183396 (ND)