Individual provider · Type 1 NPI
Krystle Jean Moe
Addiction (Substance Use Disorder) Counselor · Rochester, MN
NPI number
1649755265
Active
Practice location
343 Woodlake Dr SE
Rochester, MN 55904-6242
Fax (507) 535-5783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 304239 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1649755265
Krystle Jean Moe's National Provider Identifier is 1649755265, issued on Sep 28, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rochester, MN. The record was last updated on Sep 28, 2018.