Individual
MARY JO MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3606 RIVER RIDGE CV, PROSPECT, KY 40059-8908
(502) 553-0673
Mailing address
3606 RIVER RIDGE CV, PROSPECT, KY 40059-8908
(502) 553-0673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10338
KY
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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