MEDICARE: KATHRYN ASCHLIMAN MULLER MA

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	1904	MN

General Provider Information

NPI Number	:	1851889810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN ASCHLIMAN MULLER MA

Provider Business Mailing Address
First Line	:	2724 COLORADO AVE S
Second Line	:
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55416-1825
Country	:	US
Telephone Number	:	414-530-0884
Fax Number	:

Provider Business Practice Location Address
First Line	:	2073 W WAYZATA BLVD STE 200
Second Line	:
City	:	LONG LAKE
State	:	MN
Zip	:	55356-4520
Country	:	US
Telephone Number	:	612-361-7793
Fax Number	:

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

Provider Enumeration Date	:	04/25/2018
Last Update Date	:	05/31/2023

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