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JESSICA RAE MOENCH LADC, OWNER/DIRECTOR
NPI 1104132505
Counselor - Addiction (Substance Use Disorder) in Detroit Lakes, MN

Active since August 23, 2010
1000 8TH ST SE STE A, DETROIT LAKES, MN 56501(218) 847-0696(218) 847-4198 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Rae Moench Ladc, Owner/director NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA RAE MOENCH LADC, OWNER/DIRECTOR (NPI 1104132505) is an individual addiction (substance use disorder) provider in Detroit Lakes, Minnesota, licensed in Minnesota (302886) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1104132505
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA RAE MOENCHCredential: LADC, OWNER/DIRECTOR
Location Address1000 8TH ST SE STE ADetroit Lakes, MN 56501-2819
Mailing Address1000 8th St Se Ste ADetroit Lakes, MN 56501-2819 · (218) 847-0696 · Fax (218) 847-4198
Phone(218) 847-0696
Fax(218) 847-4198
Sole ProprietorNo
Enumeration DateAugust 23, 2010
Last NPPES UpdateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
✔ NPI 1104132505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 302886
1000 8TH ST SE STE A, Detroit Lakes, MN 56501
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Moench's NPI number?

The NPI number for Jessica Moench is 1104132505. It was assigned to this individual provider in the NPPES registry on August 23, 2010.

Where is Jessica Moench located?

Jessica Moench practices at 1000 8th St SE Ste A, Detroit Lakes, MN 56501. The listed phone number is (218) 847-0696.

What is Jessica Moench's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jessica Moench was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.