Provider Demographics
NPI:1851888739
Name:MULLIN, ARIA ELIZABETH (LMFT)
Entity type:Individual
Prefix:
First Name:ARIA
Middle Name:ELIZABETH
Last Name:MULLIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ARIA
Other - Middle Name:ELIZABETH
Other - Last Name:SEAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:760 STILLWATER RD STE 101
Mailing Address - Street 2:
Mailing Address - City:MAHTOMEDI
Mailing Address - State:MN
Mailing Address - Zip Code:55115-2060
Mailing Address - Country:US
Mailing Address - Phone:651-800-1189
Mailing Address - Fax:651-705-8167
Practice Address - Street 1:760 STILLWATER RD STE 101
Practice Address - Street 2:
Practice Address - City:MAHTOMEDI
Practice Address - State:MN
Practice Address - Zip Code:55115-2060
Practice Address - Country:US
Practice Address - Phone:651-800-1189
Practice Address - Fax:651-705-8167
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-17
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3402106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist