Doctor Name: | BLAINE F MUEHLBAUER |
NPI Number: | 1013003185 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCC |
License Number: | E1724 |
Business Practice Address: | 340 S Broadway St Akron, OH - 443081529 |
Business Phone Number: | 3302533100 |
Business Fax Number: | 3302535248 |
Mailing Address: | 340 S Broadway St, AKRON |
State: | OH |
Postal Code: | 443081529 |
Phone Number: | 3302533100 |
Fax Number: | 3302535248 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | E1724 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |