Provider Demographics
NPI:1619119765
Name:MUELLER, ERIC (LCSW,CADC)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:MUELLER
Suffix:
Gender:M
Credentials:LCSW,CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 E OGDEN AVE
Mailing Address - Street 2:SUITE #330
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8602
Mailing Address - Country:US
Mailing Address - Phone:630-848-0445
Mailing Address - Fax:630-848-0455
Practice Address - Street 1:710 E OGDEN AVE
Practice Address - Street 2:SUITE #330
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8602
Practice Address - Country:US
Practice Address - Phone:630-848-0445
Practice Address - Fax:630-848-0455
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490135331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical