Individual
ELIZABETH A MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5910 SHINGLE CREEK PKWY, BROOKLYN CENTER, MN 55430-2322
(763) 569-5228
(763) 569-5240
Mailing address
5910 SHINGLE CREEK PKWY, BROOKLYN CENTER, MN 55430-2322
(763) 569-5228
(763) 569-5240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
03/26/2021
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