Organization
MOE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE MOE LPCC (OWNER)
(312) 533-1685
Entity
Organization
Contact information
Practice address
2920 SHEYENNE ST STE 107, WEST FARGO, ND 58078-6002
(312) 533-1685
Mailing address
7079 14TH ST S, FARGO, ND 58104-7571
(312) 533-1685
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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