Individual
LARRY MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
565 UNIVERSITY AVE STE 1, FAIRBANKS, AK 99709-3687
(907) 455-1421
Mailing address
565 UNIVERSITY AVE STE 1, FAIRBANKS, AK 99709-3687
(907) 388-8963
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
506
AK
Other
Enumeration date
08/07/2007
Last updated
10/25/2024
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