| Christopher Douglas Mullin, LMSW | |
|
1209 Richardson St, Port Huron, MI 48060-3548 | |
| (810) 984-5156 | |
| (810) 984-5228 |
| Full Name | Christopher Douglas Mullin |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1209 Richardson St, Port Huron, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336328442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Starboard Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134901481 PECOS PAC ID: 2961847629 Enrollment ID: O20240304003136 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Douglas Mullin, LMSW 1209 Richardson St, Port Huron, MI 48060-3548 Ph: (810) 984-5156 | Christopher Douglas Mullin, LMSW 1209 Richardson St, Port Huron, MI 48060-3548 Ph: (810) 984-5156 |
Sara M Tavora, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 520 Superior St, Port Huron, MI 48060 Phone: 810-984-4202 Fax: 810-984-8896 | |
Heather Stewart, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Callie Gunn, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Mr. Robert Marshall Ii, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Kristen M Azzinaro, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Mrs. Deborah Louise Kokoszka, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900 | |
Ms. Erin Michelle Mcdaid, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2601 13th St, Port Huron, MI 48060 Phone: 810-987-9100 Fax: 810-987-9105 |