Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Rae Moench, LADC, OWNER/DIRECTOR

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104132505

Jessica Rae Moench, LADC, OWNER/DIRECTOR is an Addiction (Substance Use Disorder) Counselor in Detroit Lakes, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1000 8th St SE Ste A
Detroit Lakes, MN 56501-2819
Phone: (218) 847-0696
Fax: (218) 847-4198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 302886 (MN)

Record details

NPI number1104132505
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC , OWNER/DIRECTOR
Sole proprietorNo
NPI enumeratedAugust 23, 2010
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

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