Individual
ANDREW MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, LP, LPCC, LADC
Contact information
Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 624-1444
(612) 677-3211
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 625-8400
(612) 677-3211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304713
MN
101YM0800X
Mental Health Counselor
2349
MN
103T00000X
Psychologist
Primary
LP7006
MN
Other
Enumeration date
10/29/2020
Last updated
09/22/2025
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