Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA RAE MOENCH, LADC, OWNER/DIRECTOR
ActiveJESSICA RAE MOENCH, LADC, OWNER/DIRECTOR is a Addiction (Substance Use Disorder) Counselor healthcare provider located in DETROIT LAKES, Minnesota. NPI 1104132505 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · DETROIT LAKES, MN
Registration Details
- NPI Number
- 1104132505
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2010 (15.950592805025 yrs)
- Last Updated
- Nov 20, 2024
- License
-
302886 (MN)
Practice Information
- Address
-
1000 8TH ST SE STE ADETROIT LAKES, MN, 565012819Browse MN providers · Browse ZIP 56501
- Phone
- 2188470696
- Fax
- 2188474198
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in DETROIT LAKES, MN
| Name | Credential | NPI |
|---|---|---|
| EDWARD RAY PACHEL | LADC | 1275711608 |
| JAMES ARTHUR THOM | LAC | 1164600599 |
| MS. TERI ELLEN CAIN | LADC | 1487822458 |
| TERRY JO WOOD | LADC | 1295984771 |
| LARRY W BOOMGAARDEN | B.A., LAC-T | 1295964518 |
| MS. JENNIFER REBECCA GIFFORD | MS, LADC | 1447588918 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.