Individual
JESSICA NICOLE MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3780 RIDGE MILL DR STE 100, HILLIARD, OH 43026-7458
(614) 219-1510
Mailing address
1529 N HIGH ST APT 212, COLUMBUS, OH 43201-1448
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
OH
Enumeration date
10/27/2021
Last updated
10/27/2021
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