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Individual
RICHARD ALLEN MOLDENHAUER
Active
Individual
RICHARD ALLEN MOLDENHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, LPCC,LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300047
MN
101YM0800X
Mental Health Counselor
CC00060
MN
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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