Individual
DON L MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW, LADC
Contact information
Practice address
1700 E RUM RIVER DR S STE B, CAMBRIDGE, MN 55008-2558
(651) 224-4114
(651) 925-0071
Mailing address
220 RAILROAD ST SE, PINE CITY, MN 55063-1540
(320) 629-7600
(651) 925-0071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MN
1041C0700X
Clinical Social Worker
Primary
02203
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02203
LICSW
MN
Enumeration date
11/07/2014
Last updated
11/07/2014
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