Individual
MARK FREDERICK MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, SAC
Contact information
Practice address
324 BUTTS AVENUE, TOMAH, WI 54660
(608) 392-4718
(608) 392-9518
Mailing address
PO BOX 86, SDS12-1874, MINNEAPOLIS, MN 55486-1874
(608) 392-4718
(608) 392-9518
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12678
WI
171M00000X
Case Manager/Care Coordinator
Primary
2661
WI
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
11/26/2007
Last updated
05/09/2011
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