Moos, Celine Louise

Moos, Celine Louise is an sole proprietor health care provider with primary practice located at 2118 Blaisdell Ave , Minneapolis MN 55404-2415. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Moos, Celine Louise can be contacted via phone (612) 270-2588.

Contact Information

Primary practice address
2118 Blaisdell Ave Minneapolis MN 55404-2415
Phone: (612) 270-2588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305770 Minnesota

Profile Details

NPI number 1609548403
LBN Legal business name Moos, Celine Louise
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2021
Last updated Sep 30th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609548403 NPPES
Minnesota Other DWT124785383001 BCBS- MINNESOTA

Popular Providers