Individual
MARIA MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
16408 XINGU ST NE, COLUMBUS, MN 55025-8867
(651) 314-1812
(651) 369-5560
Mailing address
78 6TH AVE, UNIT 52, FOREST LAKE, MN 55025-1667
(651) 314-1812
(651) 369-5560
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2800
MN
Other
Enumeration date
07/12/2012
Last updated
04/24/2023
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