Whalio Doctors

NPI 1013130723

Anthony Severous Muller, MALLPCCACII

Practitioner Mental Health Counselor Grand Rapids, MI

Practice location

Address
2080 Union Ave SE STE a, Grand Rapids, MI 49507-3247
Phone
(616) 516-9985
Mailing address
2139 Belmont Farms Cir NE, Belmont, MI 49306-8902

Registered specialties (2)

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 6401007822 (MI)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 6401007822 (MI)

Registry record

NPI
1013130723
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Apr 2007
Record last updated
13 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.