Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jawan Mullen Sr., CDACINTERN

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124531421

Jawan Mullen Sr., CDACINTERN is an Addiction (Substance Use Disorder) Counselor in Henderson, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2017

Practice location Address checks out

5940 Moondance Ct
Henderson, NV 89011-4921
Phone: (703) 269-7616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 08256-1 (NV)

Record details

NPI number1124531421
Entity typeIndividual (Type 1)
GenderMale
Credentials CDACINTERN
Sole proprietorYes
NPI enumeratedNovember 8, 2017
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Other providers in Henderson