Provider Demographics
NPI:1497071427
Name:MUHL, KRISTIN JENNIFER (LPCC)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:JENNIFER
Last Name:MUHL
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12100 MORGAN AVE S
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-9457
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:275 3RD ST S
Practice Address - Street 2:SUITE 303
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-4996
Practice Address - Country:US
Practice Address - Phone:651-439-2059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC00089101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional