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

Jeremy Randall Mullis, MA

Individual provider Counselor · NPI 1922240928

Jeremy Randall Mullis, MA is a Counselor in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

4701 Wrightsville Ave Bldg 1 Unit D-4
Wilmington, NC 28403-2840
Phone: (910) 899-4060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 4647 (NC)
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1922240928
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedApril 6, 2009
Last updated in NPPESApril 13, 2022
Certification dateNovember 24, 2021

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