Individual provider · Type 1 NPI

Mark Judson Moller, LPC

Mental Health Counselor · St. Paul, MN

NPI number 1205182201 Active

Practice location

366 Selby Ave, Suite 200
St. Paul, MN 55102-1880

Fax (651) 224-4354

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X01195 (MN)

Mental Health Counselor: Definition to come...

8 other providers at this address

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About NPI 1205182201

Mark Judson Moller, LPC's National Provider Identifier is 1205182201, issued on Jul 27, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Paul, MN. The record was last updated on Jul 27, 2012.