Mueller, Jennifer L

Mueller, Jennifer L is an individual health care provider with primary practice located at 201 Main St Ste 500 , La Crosse WI 54601-0716. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Mueller, Jennifer L can be contacted via phone (608) 389-0514.

Contact Information

Primary practice address
201 Main St Ste 500 La Crosse WI 54601-0716
Phone: (608) 389-0514
Fax: (608) 668-4006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2703 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2703 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 3569 Wisconsin

Profile Details

NPI number 1629011697
LBN Legal business name Mueller, Jennifer L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 28th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629011697 NPPES
Wisconsin MEDICAID 40994400

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