Individual
ALEAH MOIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
309 7TH ST NW, WILLMAR, MN 56201-2627
(320) 214-7744
Mailing address
309 7TH ST NW, WILLMAR, MN 56201-2627
(320) 214-7744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305564
MN
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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