Provider Demographics
NPI:1023859956
Name:MUELLER, MADELEINE F (RESIDENT COUNSELOR)
Entity type:Individual
Prefix:
First Name:MADELEINE
Middle Name:F
Last Name:MUELLER
Suffix:
Gender:F
Credentials:RESIDENT COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9677 MAIN ST # A-B
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-3763
Mailing Address - Country:US
Mailing Address - Phone:703-370-3045
Mailing Address - Fax:
Practice Address - Street 1:9677 MAIN ST
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-3763
Practice Address - Country:US
Practice Address - Phone:571-370-3045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health