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

Lynn Marie Fagen Moore

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1245519388

Lynn Marie Fagen Moore is an Addiction (Substance Use Disorder) Counselor in Chisago City, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011

Practice location Address checks out

11720 256th St
Chisago City, MN 55013-9752
Phone: (651) 257-4159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 302220 (MN)

Record details

NPI number1245519388
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2011
Last updated in NPPESAugust 8, 2011

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