Individual
STACY THOMPSON MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CDP
Contact information
Practice address
151 NE HAMPE WAY STE C2-1, CHEHALIS, WA 98532-2403
(360) 748-2274
(360) 748-2276
Mailing address
151 NE HAMPE WAY STE C2-1, CHEHALIS, WA 98532-2403
(360) 748-2274
(360) 748-2276
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00006191
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
WA
Enumeration date
05/01/2018
Last updated
05/01/2018
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