Provider Demographics
NPI:1235996182
Name:MULLER, JEANNETTE (MS)
Entity Type:Individual
Prefix:
First Name:JEANNETTE
Middle Name:
Last Name:MULLER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 JEFFERSON ST STE T1
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-4901
Mailing Address - Country:US
Mailing Address - Phone:931-230-7700
Mailing Address - Fax:
Practice Address - Street 1:25 JEFFERSON ST STE T1
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-4901
Practice Address - Country:US
Practice Address - Phone:931-230-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health