Individual
MAGGIE JAN MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1626
(612) 223-8898
Mailing address
8980 HUDSON BLVD N, LAKE ELMO, MN 55042-9704
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
306607
MN
101YP2500X
Professional Counselor
Primary
05050
MN
101YP2500X
Professional Counselor
127072-125
WI
Other
Enumeration date
11/16/2022
Last updated
12/16/2025
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