| Doctor Name: | MRS. THERESA HOGLUND MUELLER |
| NPI Number: | 1427417625 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC ATR |
| License Number: | 01703 |
| Business Practice Address: | 965 Main Street S # 103 Sauk Centre, MN - 56378 |
| Business Phone Number: | 3202904788 |
| Business Fax Number: | |
| Mailing Address: | Hillcrest Plaza 965 Main Street S, # 103 SAUK CENTRE |
| State: | MN |
| Postal Code: | 56378 |
| Phone Number: | 3202904788 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2016 |
| NPI Last Update Date: | 05/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 01703 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |