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NPI Code Detail

MEDICARE: MS. MARY L MULLER LPC

MEDICARE: MS. MARY L MULLER LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor408NE
2101YM0800XMental Health Counselor2125KS
3101YM0800XMental Health Counselor0005107CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952415135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY L MULLER LPC
Provider Business Mailing Address
First Line : 201 KENDALL DR
Second Line :
City : LAMAR
State : CO
Zip : 81052-3939
Country : US
Telephone Number : 719-336-0261
Fax Number : 719-336-0265
Provider Business Practice Location Address
First Line : 201 KENDALL DR
Second Line :
City : LAMAR
State : CO
Zip : 81052-3939
Country : US
Telephone Number : 719-336-0261
Fax Number : 719-336-0265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 10/14/2013

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