Basic Information
| Provider Information | |||||||||
| NPI: | 1245286046 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MUELLER | ||||||||
| FirstName: | STEPHANIE | ||||||||
| MiddleName: | RUDI | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 457 | ||||||||
| Address2: | |||||||||
| City: | BUIES CREEK | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275060457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9108939727 | ||||||||
| FaxNumber: | 9108936404 | ||||||||
| Practice Location | |||||||||
| Address1: | 5841 US HIGHWAY 421 SOUTH | ||||||||
| Address2: | |||||||||
| City: | BUIES CREEK | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275060457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9108939727 | ||||||||
| FaxNumber: | 9108936404 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2006 | ||||||||
| LastUpdateDate: | 01/28/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 3975 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.