person
Brian Jerald Mueller, LPC
Professional Counselor in Rockford, Illinois
NPI 1497002679

Brian Jerald Mueller is a Professional Counselor based in Cortland, IL and is specialized in Professional. Brian Jerald Mueller practices in Rockford, IL and has the professional credentials of LPC. The NPI Number for Brian Jerald Mueller is 1497002679 and holds a License No. 178.007967 (Illinois).

The current practice location address for Brian Jerald Mueller is 8616 Northern Ave, Rockford, IL and can be reached out via phone at 815-979-3402 and via fax at 815-332-6090.

Location: 8616 Northern Ave, Rockford, IL, 60112-4169
person
Provider Profile Details
NPI Number
1497002679
Provider Name
Brian Jerald Mueller
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
8616 Northern Ave, Rockford, IL, 60112-4169
Phone Number
815-979-3402
Fax Number
815-332-6090
Provider Enumeration Date
08/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497002679 01 IL NATIONAL PROVIDER IDENTIFIER
institution
Provider Business Practice Location Address Details
Address
8616 Northern Ave
City
State
Zip
61107-5309
Phone Number
815-979-3402
Fax Number
815-332-6090
person
Provider Business Mailing Address Details
Address
8616 Northern Ave
City
State
Zip
61107-5309
Phone Number
815-979-3402
Fax Number
815-332-6090
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.007967 (Illinois)
Definition
Definition to come...
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