Provider Demographics
NPI:1427417625
Name:MUELLER, THERESA HOGLUND (LPC ATR)
Entity type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:HOGLUND
Last Name:MUELLER
Suffix:
Gender:F
Credentials:LPC ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HILLCREST PLAZA 965 MAIN STREET S
Mailing Address - Street 2:# 103
Mailing Address - City:SAUK CENTRE
Mailing Address - State:MN
Mailing Address - Zip Code:56378
Mailing Address - Country:US
Mailing Address - Phone:320-290-4788
Mailing Address - Fax:
Practice Address - Street 1:965 MAIN STREET S
Practice Address - Street 2:# 103
Practice Address - City:SAUK CENTRE
Practice Address - State:MN
Practice Address - Zip Code:56378
Practice Address - Country:US
Practice Address - Phone:320-290-4788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-16
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN01703101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional