Provider Demographics
NPI:1386707792
Name:MULLEN, CHRISTIN M (MFT)
Entity type:Individual
Prefix:MS
First Name:CHRISTIN
Middle Name:M
Last Name:MULLEN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:CHRISTIN
Other - Middle Name:MARIA
Other - Last Name:MULLEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:4141 GEARY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3109
Mailing Address - Country:US
Mailing Address - Phone:415-833-2292
Mailing Address - Fax:415-833-2000
Practice Address - Street 1:4141 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3109
Practice Address - Country:US
Practice Address - Phone:415-833-2292
Practice Address - Fax:415-833-2000
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC39463106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist