Individual provider · Type 1 NPI

Melanie Renee Moore

Professional Counselor · Pocatello, ID

NPI number 1063360758 Active

Practice location

396 Yellowstone Ave
Pocatello, ID 83201-4572

Call (385) 985-6354 Map

Mailing address

561 Raven Way
Chubbuck, ID 83202-1971

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4671296 (ID)

Professional Counselor: Definition to come...

5 other providers at this address

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About NPI 1063360758

Melanie Renee Moore's National Provider Identifier is 1063360758, issued on Mar 18, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pocatello, ID. The record was last updated on Mar 18, 2026.