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

Mr. Mark Moore, MA

Individual provider Mental Health Counselor · NPI 1548679384

Mr. Mark Moore, MA is a Mental Health Counselor in Waconia, Minnesota. Works from 2 locations. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

540 E 1st St
Waconia, MN 55387
Phone: (952) 442-4437
Fax: (952) 442-3084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4570 W 77th St Ste 315, Edina, MN 55435-5035 — (952) 913-5403

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1548679384
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedAugust 6, 2014
Last updated in NPPESAugust 9, 2018
Mailing address9533 Roosevelt Dr, Chanhassen, MN 55317-4612

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