MR. MARK JUDSON MOLLER LPC NPI 1205182201

NPI Information

NPI: 1205182201
Provider Name: MR. MARK JUDSON MOLLER, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
366 SELBY AVE
SUITE 200
SAINT PAUL, MN
ZIP 55102
Phone: (612) 280-0475
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MR. Mark Judson Moller, LPC is a mental health counselor in Saint Paul, MN. MR. Mark Judson Moller, LPC NPI is 1205182201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

366 SELBY AVE
SUITE 200
SAINT PAUL, MN
ZIP 55102-880
Phone: (612) 280-0475
Fax: (651) 224-4354

The enumeration date for this NPI number is 7/27/2012 and was last updated on 7/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	01195	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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