Individual
KIMBERLY SUE MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LADC
Contact information
Practice address
29961 KEEPER RD, CHATFIELD, MN 55923-4831
(507) 259-6258
Mailing address
29961 KEEPER RD, CHATFIELD, MN 55923-4831
(507) 259-6258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301844
MN
1041C0700X
Clinical Social Worker
Primary
27774
MN
Other
Enumeration date
10/08/2020
Last updated
07/30/2025
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