Provider Demographics
NPI:1164552881
Name:MULLEN, JULIUS GORDON SR (LPCMH EDD)
Entity Type:Individual
Prefix:MR
First Name:JULIUS
Middle Name:GORDON
Last Name:MULLEN
Suffix:SR
Gender:M
Credentials:LPCMH EDD
Other - Prefix:DR
Other - First Name:JULIUS
Other - Middle Name:
Other - Last Name:MULLEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1213 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806
Mailing Address - Country:US
Mailing Address - Phone:302-652-3948
Mailing Address - Fax:302-652-8297
Practice Address - Street 1:1213 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806
Practice Address - Country:US
Practice Address - Phone:302-652-3948
Practice Address - Fax:302-652-8297
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC0000397101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health