Individual
BRANDICE MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-5900
Mailing address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-5900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
65732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351863101
—
TX
01
—
830LQC
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/23/2014
Last updated
05/06/2016
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