Individual
JEANA MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1712 7TH AVE S, SAINT CLOUD, MN 56301-5711
(320) 229-6009
Mailing address
1712 7TH AVE S, SAINT CLOUD, MN 56301-5711
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2616
MN
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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