Individual provider · Type 1 NPI

Deborah Mason-Moore, M.S.

Marriage & Family Therapist · St. Louis Park, MN

NPI number 1376662056 Active

Practice location

5009 Excelsior Blvd, Suite 136
St. Louis Park, MN 55416-3041

Fax (952) 925-5343

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	8064 (MN)
Marriage & Family Therapist Primary	106H00000X	75 (MN)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1376662056

Deborah Mason-Moore, M.S.'s National Provider Identifier is 1376662056, issued on Mar 27, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Sep 11, 2025.