Individual provider · Type 1 NPI

Kristin Lee Moen, MA, LPCC

Mental Health Counselor · Maple Grove, MN

NPI number 1457790990 Active

Practice location

13000 63rd Ave N
Maple Grove, MN 55369-6081

Call (763) 553-4003 Map

Mailing address

12425 River Ridge Blvd Ste 200
Burnsville, MN 55337-4872

Other practice locations

  • 12425 River Ridge Blvd Ste 200, Burnsville, MN 55337-4872 · (952) 562-8500
  • 529 County Road E W, Suite C, Shoreview, MN 55126-7072 · (952) 562-8310

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCC00603 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1457790990

Kristin Lee Moen, MA, LPCC's National Provider Identifier is 1457790990, issued on Jun 18, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maple Grove, MN. The record was last updated on Jul 21, 2022.