Search › Minnesota › 101YP2500X
Kevin Moore, MA, LPCC, LADC
NPI 1164151163 · on the registry since 2022 · sole proprietor
Practice
- Address
- 4463 261st Ave Nw
Isanti, MN 55040 - Phone
- (176) 327-6028
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota