MITCHELL JAT MOORE

ROCHESTER, MN
NPI1841340601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  300769)
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
Mr. MITCHELL JAT MOORE LADC
923 N BROADWAY
ROCHESTER, MN 55906-6843
Phone number: 507-281-6223
Mailing Address
Mr. MITCHELL JAT MOORE LADC
614 WOODDALE CT NW
ROCHESTER, MN 55901-2472
Phone number: 507-282-6075
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