Provider Demographics
NPI:1346587896
Name:MULLENGER, JENE C
Entity Type:Individual
Prefix:
First Name:JENE
Middle Name:C
Last Name:MULLENGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W. LOUISIANA STREET
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-4607
Mailing Address - Country:US
Mailing Address - Phone:214-616-0144
Mailing Address - Fax:
Practice Address - Street 1:101 W. LOUISIANA STREET
Practice Address - Street 2:SUITE 206
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-4607
Practice Address - Country:US
Practice Address - Phone:214-616-0144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-03
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor