Individual
LINDA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LADC
Contact information
Practice address
610 FLORENCE AVE, OWATONNA, MN 55060-4704
(507) 444-2252
(507) 444-2251
Mailing address
610 FLORENCE AVE, OWATONNA, MN 55060-4704
(507) 444-2252
(507) 444-2251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302828
MN
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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