| Mr Mitchell Jat Moore, LADC | |
|
923 N Broadway, Rochester, MN 55906-6843 | |
| (507) 281-6223 | |
| Not Available |
| Full Name | Mr Mitchell Jat Moore |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 923 N Broadway, Rochester, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841340601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 300769 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mitchell Jat Moore, LADC 614 Wooddale Ct Nw, Rochester, MN 55901-2472 Ph: (507) 282-6075 | Mr Mitchell Jat Moore, LADC 923 N Broadway, Rochester, MN 55906-6843 Ph: (507) 281-6223 |
Allison M Harbach, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3040 Stonehedge Dr Ne, Rochester, MN 55906 Phone: 800-438-1772 Fax: 262-345-5562 | |
Regina Anne Mustafa, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 5th St Sw, Rochester, MN 55902 Phone: 507-357-1742 | |
Madelynn Jean Husman, MS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 16th St Se Ste 100, Rochester, MN 55904 Phone: 507-516-0030 Fax: 507-516-0031 | |
Kristine M Lynam, LICSW Counselor Medicare: Medicare Enrolled Practice Location: 210 9th St Se, Rochester, MN 55904 Phone: 507-288-3443 | |
Kendra Henry, LPCC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2212 2nd St Sw Unit 1, Rochester, MN 55902 Phone: 507-258-4458 Fax: 507-299-9577 | |
David Scott Brown, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 16th St Se Ste 100, Rochester, MN 55904 Phone: 507-516-0030 | |
Jacqueline Marilin Bonilla, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3101 Superior Dr Nw, Rochester, MN 55901 Phone: 612-221-6144 |