Individual provider · Type 1 NPI
Julie Ann Moylan, MA, LADC, LPCC
Mental Health Counselor · Stillwater, MN
NPI number
1255856928
Active
Practice location
116 Chestnut St E # 150
Stillwater, MN 55082-5116
Mailing address
204 Cherry St W Apt 3
Stillwater, MN 55082-6771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 304182 (MN) |
| Mental Health Counselor | 101YM0800X | 01861 (MN) |
| Mental Health Counselor Primary | 101YM0800X | 1896 (MN) |
Mental Health Counselor: Definition to come...
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About NPI 1255856928
Julie Ann Moylan, MA, LADC, LPCC's National Provider Identifier is 1255856928, issued on Aug 3, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stillwater, MN. The record was last updated on Sep 13, 2018.