person
Mr. Mitchell Jat Moore, LADC
Addiction (Substance Use Disorder) Counselor in Rochester, Minnesota
NPI 1841340601

Mitchell Jat Moore is an Addiction (Substance Use Disorder) Counselor based in Rochester, MN and is specialized in Addiction (Substance Use Disorder). Mitchell Jat Moore practices in Rochester, MN and has the professional credentials of LADC. The NPI Number for Mitchell Jat Moore is 1841340601 and holds a License No. 300769 (Minnesota).

The current practice location address for Mitchell Jat Moore is 923 N Broadway, Rochester, MN and can be reached out via phone at 507-281-6223.

Location: 923 N Broadway, Rochester, MN, 55901-2472
person
Provider Profile Details
NPI Number
1841340601
Provider Name
Mitchell Jat Moore
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
923 N Broadway, Rochester, MN, 55901-2472
Phone Number
507-281-6223
Fax Number
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
923 N Broadway
City
State
Zip
55906-6843
Phone Number
507-281-6223
Fax Number
person
Provider Business Mailing Address Details
Address
923 N Broadway
City
State
Zip
55906-6843
Phone Number
507-281-6223
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
300769 (Minnesota)
Definition
Definition to come...
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