Pat A Moran, LADC

NPI #1861033318 in Ponsford, Minnesota

Provider Information

NPI Number: 1861033318
Entity Type: Individual
Name: Pat A Moran, LADC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC
Enumeration Date: Oct 7, 2019
Last Updated: Oct 7, 2019

Practice Location

Address: 48548 POWWOW HWY
City: Ponsford
State: Minnesota
ZIP Code: 56575-5657
Phone: (218) 255-3555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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