Individual
PAT A MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
48548 POWWOW HWY, PONSFORD, MN 56575-5657
(218) 255-3555
(218) 573-2027
Mailing address
48548 POWWOW HWY, PONSFORD, MN 56575
(218) 255-3555
(218) 573-2027
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300262
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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