Individual
RITA MARIE MOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
903 S. HILLIGOSS BLVD. EAST, SUITE A, FOSSTON, MN 56542
(218) 435-1356
Mailing address
PO BOX 66, FOSSTON, MN 56542-0066
(218) 435-1356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MN
101YP2500X
Professional Counselor
Primary
1885
MN
Other
Enumeration date
10/02/2018
Last updated
08/17/2021
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