Jacquelyn Mullis, LMFT

Individual provider Active NPI Marriage & Family Therapist · Arcata, CA

NPI 1952767501 · NPPES record last updated Apr 2, 2026

Key facts

NPI
1952767501
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
120440 (CA)
Practice address
592 14TH St
Arcata, CA 95521-5808
Phone
(707) 400-3366
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
120440CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 120440 CA Yes

Addresses

Primary practice location

592 14TH St
Arcata, CA 95521-5808

Mailing address

592 14TH St
Arcata, CA 95521-5808

Other providers in Arcata, CA

All providers in Arcata, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.