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)
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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
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 510183396 (ND, Sharehouse), 510183396 (ND)