Individual
ASHTON MOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC LICSW
Contact information
Practice address
2669 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-0001
(763) 999-5991
Mailing address
2669 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-0001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304216
MN
1041C0700X
Clinical Social Worker
Primary
25181
MN
Other
Enumeration date
05/20/2019
Last updated
10/14/2025
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