Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN LOWERY MOORE, MA, LPCC, LADC
Active Sole ProprietorKEVIN LOWERY MOORE, MA, LPCC, LADC is a Professional Counselor healthcare provider located in ISANTI, Minnesota. NPI 1164151163 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · ISANTI, MN
Registration Details
- NPI Number
- 1164151163
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2022 (4.1564998340547 yrs)
- Last Updated
- Jun 7, 2022
- Licenses
-
303673 (MN)01764 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4463 261ST AVE NWISANTI, MN, 550404351Browse MN providers · Browse ZIP 55040
- Phone
- 1763276028
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in ISANTI, MN
| Name | Credential | NPI |
|---|---|---|
| MELINDA ELIZABETH HIX-DEMULLING | LPCC | 1730526120 |
| DAWN BORER | MA, LPC | 1386000388 |
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.