Moua Moua, LAC, SWLC

NPI 1467110726 · on the registry since 2021

Practice

Address: 2620 Connery Way
Missoula, MT 59808
Phone: (406) 203-9948
Fax: (406) 203-9949
Organisation at this address: Sunburst Health Llc
Jacklyn Joan Tryhus Llc
Recovery Centers Of Montana Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 101YA0400X
Licence states on file: MT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-05-23

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 Montana