Individual
MICHELLE R. MOLDENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
233 W 1ST ST, WACONIA, MN 55387-1302
(888) 454-2463
Mailing address
300 W 3 1/2 ST, WACONIA, MN 55387-1704
(952) 913-7958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3464
MN
Other
Enumeration date
02/11/2018
Last updated
02/11/2018
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