person
Lynn Marie Fagen Moore
Addiction (Substance Use Disorder) Counselor in Chisago City, Minnesota
NPI 1245519388

Lynn Marie Fagen Moore is an Addiction (Substance Use Disorder) Counselor based in Chisago City, MN and is specialized in Addiction (Substance Use Disorder). Lynn Marie Fagen Moore practices in Chisago City, MN. The NPI Number for Lynn Marie Fagen Moore is 1245519388 and holds a License No. 302220 (Minnesota).

The current practice location address for Lynn Marie Fagen Moore is 11720 256Th St, Chisago City, MN and can be reached out via phone at 651-257-4159.

Location: 11720 256Th St, Chisago City, MN, 55013-9752
person
Provider Profile Details
NPI Number
1245519388
Provider Name
Lynn Marie Fagen Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
11720 256Th St, Chisago City, MN, 55013-9752
Phone Number
651-257-4159
Fax Number
Provider Enumeration Date
08/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11720 256Th St
City
State
Zip
55013-9752
Phone Number
651-257-4159
Fax Number
person
Provider Business Mailing Address Details
Address
11720 256Th St
City
State
Zip
55013-9752
Phone Number
651-257-4159
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
302220 (Minnesota)
Definition
Definition to come...
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