Individual
ANN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC
Contact information
Practice address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 000-0000
Mailing address
651 21ST ST UNIT 6, PRAIRIE DU SAC, WI 53578-1251
(608) 432-8980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16048-131
WI
101YP2500X
Professional Counselor
Primary
4810-125
WI
Other
Enumeration date
02/29/2008
Last updated
08/08/2023
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