Larry Moen, LPC

NPI #1023209616 in Fairbanks, Alaska

Provider Information

NPI Number: 1023209616
Entity Type: Individual
Name: Larry Moen, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Aug 7, 2007
Last Updated: Oct 25, 2024

Practice Location

Address: 565 UNIVERSITY AVE STE 1
City: Fairbanks
State: Alaska
ZIP Code: 99709-3687
Phone: (907) 455-1421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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