person
Richard Allen Moldenhauer, LADC,LPCC,LCADC
Addiction (Substance Use Disorder) Counselor in Ellsworth, Wisconsin
NPI 1962972695

Richard Allen Moldenhauer is an Addiction (Substance Use Disorder) Counselor based in Ellsworth, WI and is specialized in Addiction (Substance Use Disorder). Richard Allen Moldenhauer practices in Ellsworth, WI and has the professional credentials of LADC,LPCC,LCADC. The NPI Number for Richard Allen Moldenhauer is 1962972695 and holds a License No. CC00060 (Wisconsin).

The current practice location address for Richard Allen Moldenhauer is W8972 520Th Ave, Ellsworth, WI and can be reached out via phone at 715-220-2078.

Location: W8972 520Th Ave, Ellsworth, WI, 54011-4887
person
Provider Profile Details
NPI Number
1962972695
Provider Name
Richard Allen Moldenhauer
Credential
LADC,LPCC,LCADC
Provider Entity Type
Individual
Gender
Male
Address
W8972 520Th Ave, Ellsworth, WI, 54011-4887
Phone Number
715-220-2078
Fax Number
Provider Enumeration Date
11/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
W8972 520Th Ave
City
State
Zip
54011-4887
Phone Number
715-220-2078
Fax Number
person
Provider Business Mailing Address Details
Address
W8972 520Th Ave
City
State
Zip
54011-4887
Phone Number
715-220-2078
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
300047 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CC00060 (Minnesota)
Definition
Definition to come...
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