Provider Demographics
NPI:1417575093
Name:MUELLER, RHONDA (TFP)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:MUELLER
Suffix:
Gender:F
Credentials:TFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N MEADOW LAKES LOOP
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99623-9855
Mailing Address - Country:US
Mailing Address - Phone:907-220-7026
Mailing Address - Fax:
Practice Address - Street 1:200 N MEADOW LAKES LOOP
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99623-9855
Practice Address - Country:US
Practice Address - Phone:907-220-7026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health