MEDICARE: CARLEY JO MUELLER

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
1	101YP2500X	Professional Counselor	12668-125	WI

General Provider Information

NPI Number	:	1174397673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLEY JO MUELLER

Provider Business Mailing Address
First Line	:	412 E LONGVIEW DR STE C
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54911-2168
Country	:	US
Telephone Number	:	920-543-5583
Fax Number	:

Provider Business Practice Location Address
First Line	:	412 E LONGVIEW DR STE C
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54911-2168
Country	:	US
Telephone Number	:	920-543-5583
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2023
Last Update Date	:	06/25/2026

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Directions to “ CARLEY JO MUELLER ” Practice Location

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