Provider Demographics
NPI:1518017573
Name:MUEHR, JERRIE SMITH (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JERRIE
Middle Name:SMITH
Last Name:MUEHR
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 GWENDOLYN DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-5767
Mailing Address - Country:US
Mailing Address - Phone:936-425-6042
Mailing Address - Fax:936-967-0487
Practice Address - Street 1:143 GWENDOLYN DR
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-5767
Practice Address - Country:US
Practice Address - Phone:936-425-6042
Practice Address - Fax:936-967-0487
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17514101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional