Individual
MR. LEONARD MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAMFT
Contact information
Practice address
550 COUNTY ROAD D W, SUITE 10, NEW BRIGHTON, MN 55112-3517
(651) 644-4022
Mailing address
101 3RD AVE S, SOUTH ST PAUL, MN 55075-2310
(651) 280-7939
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT 3048
MN
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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