Moeller, Kimberly Sue
Moeller, Kimberly Sue is an sole proprietor health care provider with primary practice located at 111 E Riverfront St Suite 103, Winona MN 55987. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moeller, Kimberly Sue can be contacted via phone (507) 556-4766.Contact Information
Primary practice address
111 E Riverfront St Suite 103
Winona MN 55987
Phone: (507) 556-4766
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 301844 | Minnesota |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 27774 | Minnesota |
Profile Details
NPI number | 1891392106 |
---|---|
LBN Legal business name | Moeller, Kimberly Sue |
Credentials | LICSW, LADC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 8th, 2020 |
Last updated | Oct 28th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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