Individual provider · Type 1 NPI
Marty Jo Moore, RN
Counselor · Boise, ID
NPI number
1033708623
Active
Practice location
2020 W Spaulding St
Boise, ID 83705-3551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1033708623
Marty Jo Moore, RN's National Provider Identifier is 1033708623, issued on Jan 18, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Boise, ID. The record was last updated on Jan 18, 2021.