Jessica Rae Moench, LADC, OWNER/DIRECTOR
NPI #1104132505 in Detroit Lakes, Minnesota
Provider Information
- NPI Number
- 1104132505
- Entity Type
- Individual
- Name
- Jessica Rae Moench, LADC, OWNER/DIRECTOR
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC, OWNER/DIRECTOR
- Enumeration Date
- Aug 23, 2010
- Last Updated
- Nov 20, 2024
Practice Location
- Address
- 1000 8TH ST SE STE A
- City
- Detroit Lakes
- State
- Minnesota
- ZIP Code
- 56501-2819
- Phone
- (218) 847-0696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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