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

Shane D Mullen

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679386486

Shane D Mullen is an Addiction (Substance Use Disorder) Counselor in Grand Island, Nebraska. Licensed in Nebraska. Registered with an NPI since 2025.

Licensed in
NE
In the registry since
2025

Practice location Address checks out

2112 W Faidley Ave
Grand Island, NE 68803-4670
Phone: (308) 398-5427
Fax: (308) 398-5404
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 P-2248 (NE)

Record details

NPI number1679386486
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 28, 2025
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

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