Individual provider · Type 1 NPI
Pat A. Moran, LADC
Addiction (Substance Use Disorder) Counselor · Ponsford, MN
NPI number
1861033318
Active
Practice location
48548 Powwow Hwy
Ponsford, MN 56575-5657
Fax (218) 573-2027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 300262 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1861033318
Pat A. Moran, LADC's National Provider Identifier is 1861033318, issued on Oct 7, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ponsford, MN. The record was last updated on Oct 7, 2019.