| Kevin Lowery Moore, MA, LPCC, LADC | |
|
4463 261st Ave Nw, Isanti, MN 55040-4351 | |
| (176) 327-6028 | |
| Not Available |
| Full Name | Kevin Lowery Moore |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 4463 261st Ave Nw, Isanti, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164151163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 303673 (Minnesota) | Secondary |
| 101YP2500X | Counselor - Professional | 01764 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Lowery Moore, MA, LPCC, LADC 4463 261st Ave Nw, Isanti, MN 55040-4351 Ph: (176) 327-6028 | Kevin Lowery Moore, MA, LPCC, LADC 4463 261st Ave Nw, Isanti, MN 55040-4351 Ph: (176) 327-6028 |
Ms. Ashley Victoria Bradt, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 201 Main Street W, Isanti, MN 55040 Phone: 763-600-2911 | |
Jacqueline Bleess, MS, MA, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 West Main Street, Isanti, MN 55040 Phone: 507-461-4122 | |
Dawn Borer, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 27114 Bayshore Dr, Isanti, MN 55040 Phone: 763-227-7223 | |
Melissa Lynn Martini-tischer, MA Counselor Medicare: Medicare Enrolled Practice Location: 303 Credit Union Dr Ste 12a, Isanti, MN 55040 Phone: 612-296-8901 Fax: 651-390-6178 | |
Cicely Matz, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 711 6th Ave Ne # 1, Isanti, MN 55040 Phone: 651-983-8023 | |
Dr. Tammy Rhine, PHD, Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 W Main St, Isanti, MN 55040 Phone: 763-377-3269 |