Most Relevant Information
Provider Data
| NPI Number: | 1003066887 |
| Provider Name: | CRYSTAL ANN MCMULLEN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/29/2008 |
| Last Updated: | 09/29/2008 |
Provider Practice Location
5918 LEE AVE
LITTLE ROCK
AR
722053326
Practice Location Phone/Fax
| Phone: | 5016692199 |
| Fax: |
Provider Mailing Location
74 WRIGHT CIR
JACKSONVILLE
AR
720765043
Provider Mailing Phone/Fax
| Phone: | 5016132989 |
| Fax: |