Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 12646 -121 | WI |
NPI | 1003142803 |
---|---|
Provider Name | Linda Christine Mueller |
First Address | Amery, WI 54001 |
Second Address | Amery, WI 54001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2009 |
Last Update Date | 29/10/2009 |