Individual provider · Type 1 NPI
Lynn Marie Fagen Moore
Addiction (Substance Use Disorder) Counselor · Chisago City, MN
NPI number
1245519388
Active
Practice location
11720 256th St
Chisago City, MN 55013-9752
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 302220 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
Other addiction (substance use disorder) counselor providers in Chisago City
About NPI 1245519388
Lynn Marie Fagen Moore's National Provider Identifier is 1245519388, issued on Aug 8, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chisago City, MN. The record was last updated on Aug 8, 2011.