person
Kevin Lowery Moore, MA,LPCC,LADC
Professional Counselor in Isanti, Minnesota
NPI 1164151163

Kevin Lowery Moore is a Professional Counselor based in Isanti, MN and is specialized in Professional. Kevin Lowery Moore practices in Isanti, MN and has the professional credentials of MA,LPCC,LADC. The NPI Number for Kevin Lowery Moore is 1164151163 and holds a License No. 303673 (Minnesota).

The current practice location address for Kevin Lowery Moore is 4463 261St Ave Nw, Isanti, MN and can be reached out via phone at 176-327-6028.

Location: 4463 261St Ave Nw, Isanti, MN, 55040-4351
person
Provider Profile Details
NPI Number
1164151163
Provider Name
Kevin Lowery Moore
Credential
MA,LPCC,LADC
Provider Entity Type
Individual
Gender
Male
Address
4463 261St Ave Nw, Isanti, MN, 55040-4351
Phone Number
176-327-6028
Fax Number
Provider Enumeration Date
06/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4463 261St Ave Nw
City
State
Zip
55040-4351
Phone Number
176-327-6028
Fax Number
person
Provider Business Mailing Address Details
Address
4463 261St Ave Nw
City
State
Zip
55040-4351
Phone Number
176-327-6028
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
01764 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
303673 (Minnesota)
Definition
Definition to come...
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