TINA MARIE MCMULLIN


Address: 601 East Center Street, Salem, MO 65560
Phone: 5737399226

TINA MARIE MCMULLIN (NPI# 1043460371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043460371
Entity Type Individual
Full Name TINA MARIE MCMULLIN
Credential LPC
Practice Address 601 East Center Street
Salem
MO 65560
Mailing Address 2122 County Road 4160
Salem
MO 65560-8148
Practice Telephone 5737399226
Mailing Telephone 5737399226
Enumeration Date 2008-09-23
Last Update Date 2011-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
2008028894 MO Behavioral Health & Social Service Providers

Office Location

Street Address 601 EAST CENTER STREET
City SALEM
State MO
Zip Code 65560

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1225286347 Craig Tatom Nurse Practitioner Hwy 72 N Physicians Office Building II, Salem, MO 65560 2008-09-03
1114190576 Jamie Johnston Wilson Registered Nurse Hwy 72 West, Salem, MO 65560 2008-04-08
1750589024 Vicky L Gulley Emergency Medicine 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 2007-07-06
1275669533 Complete Care, Inc Durable Medical Equipment & Medical Supplies 116 W. 4th, Salem, MO 65560 2007-02-23
1023083722 Brent K. Caudill General Practice Hwy 72 N, Salem, MO 65560 2006-02-17
1750369369 Charles W Cunningham Family Medicine 1010 E Scenic Rivers Blvd, Salem, MO 65560 2006-01-04
1053396952 H.e. Moser Corporation Pharmacy 900 S Main, Salem, MO 65560 2005-12-13
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1396366118 Stephanie Ann Hunt Counselor 4 Waters St, Salem, MA 01970-3965 2020-05-04
1497381750 Hyun Mok Samuel Kang Counselor 35 Congress St Ste 351a, Salem, MA 01970-5567 2020-03-19
1780223610 Josette Thompson Counselor 11 Boston St, Salem, MA 01970-2103 2019-12-23
1801435870 Sarah Katherine Bolte Counselor 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 2019-12-23
1871131201 Silver Falls Trauma Recovery, LLC Counselor 495 State St Ste 540, Salem, OR 97301-3297 2019-12-16
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Competitor

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City SALEM
Zip Code 65560

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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