Individual provider · Type 1 NPI

Reagan Paige Moody

Addiction (Substance Use Disorder) Counselor · Maple Grove, MN

NPI number 1619785185 Active

Practice location

13603 80th Cir N
Maple Grove, MN 55369-8961

Fax (763) 274-3121

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1619785185

Reagan Paige Moody's National Provider Identifier is 1619785185, issued on Dec 30, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Maple Grove, MN. The record was last updated on Nov 14, 2025.