Provider Demographics
NPI:1316378490
Name:MUSELMAN, RICHARD HARRIS (LMHC, CEAP)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:HARRIS
Last Name:MUSELMAN
Suffix:
Gender:M
Credentials:LMHC, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1090 3RD ST
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-9755
Mailing Address - Country:US
Mailing Address - Phone:515-418-3562
Mailing Address - Fax:
Practice Address - Street 1:505 5TH AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-2324
Practice Address - Country:US
Practice Address - Phone:515-471-2331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00691101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health