Provider Demographics
NPI:1952457814
Name:MULLIN, YESIM (MA, LPC)
Entity Type:Individual
Prefix:
First Name:YESIM
Middle Name:
Last Name:MULLIN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:YESIM
Other - Middle Name:
Other - Last Name:BOHJANEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1633 MEDICAL CENTER PT STE 253
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-8717
Mailing Address - Country:US
Mailing Address - Phone:719-634-1825
Mailing Address - Fax:
Practice Address - Street 1:1633 MEDICAL CENTER PT STE 253
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-8717
Practice Address - Country:US
Practice Address - Phone:719-634-1825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health