Individual
JUAN JOSE MARTINEZ MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC MHSP
Contact information
Practice address
3209 MIDDLEFORD DR, COOKEVILLE, TN 38506-6167
(909) 283-8095
Mailing address
3209 MIDDLEFORD DR, COOKEVILLE, TN 38506-6167
(909) 283-8095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6224
TN
101YP2500X
Professional Counselor
Primary
6224
TN
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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