Provider Demographics
NPI:1760822944
Name:MULHERN, MAUREEN (MS LCPC)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:MULHERN
Suffix:
Gender:F
Credentials:MS LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 E PATRICK ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-5614
Mailing Address - Country:US
Mailing Address - Phone:301-631-1304
Mailing Address - Fax:301-631-1384
Practice Address - Street 1:309 E PATRICK ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-5614
Practice Address - Country:US
Practice Address - Phone:301-631-1304
Practice Address - Fax:301-631-1384
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5152101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional