Individual
KRYSTLE JEAN MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
343 WOODLAKE DR SE, ROCHESTER, MN 55904-6242
(507) 535-5690
(507) 535-5783
Mailing address
343 WOODLAKE DR SE, ROCHESTER, MN 55904-6242
(507) 535-5690
(507) 535-5783
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304239
MN
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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