Individual
MR. ANTHONY SEVEROUS MULLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLPC CAC-II
Contact information
Practice address
2080 UNION AVE SE STE A, GRAND RAPIDS, MI 49507-3247
(616) 516-9985
Mailing address
2139 BELMONT FARMS CIR NE, BELMONT, MI 49306-8902
(616) 516-9985
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401007822
MI
101YM0800X
Mental Health Counselor
Primary
6401007822
MI
Other
Enumeration date
04/11/2007
Last updated
12/13/2021
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