LYNN FAGEN MOORE
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1245519388
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 302220 (MN) |
Frequently Asked Questions
NPI 1245519388 is the National Provider Identifier for LYNN FAGEN MOORE, a Counselor - Addiction (Substance Use Disorder) provider located in Chisago City, MN. This NPI was enumerated on August 8, 2011.
LYNN FAGEN MOORE practices at 11720 256TH ST, Chisago City, MN 55013.
Quick Facts
- NPI
- 1245519388
- Type
- Individual
- Enumerated
- Aug 8, 2011
- Last Updated
- Aug 8, 2011
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