Individual
KRISTIN LEE MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
13000 63RD AVE N, MAPLE GROVE, MN 55369-6081
(763) 553-4003
Mailing address
12425 RIVER RIDGE BLVD STE 200, BURNSVILLE, MN 55337-4872
(952) 562-8500
(952) 562-8801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00603
MN
Other
Enumeration date
06/18/2013
Last updated
07/21/2022
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