Individual
MR. MARK JUDSON MOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
366 SELBY AVE, SUITE 200, SAINT PAUL, MN 55102-1880
(612) 280-0475
(651) 224-4354
Mailing address
366 SELBY AVE, SUITE 200, SAINT PAUL, MN 55102-1880
(612) 280-0475
(651) 224-4354
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01195
MN
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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