Individual
KACEY E MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
688 N AVENUE H APT 304, BOISE, ID 83712-6471
(208) 863-6354
Mailing address
688 N AVENUE H APT 304, BOISE, ID 83712-6471
(208) 863-6354
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/22/2019
Last updated
12/22/2019
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