Individual provider · Type 1 NPI

Jacqueline Moore, LPC

Professional Counselor · Meridian, ID

NPI number 1245047463 Active

Practice location

3288 E Pine Ave
Meridian, ID 83642-5922

Call (208) 888-8886 Map

Mailing address

1447 W Whitehall Dr
Meridian, ID 83642-7317

Other practice locations

  • 690 S Industry Way Ste 45, Meridian, ID 83642-7907 · (801) 808-4129

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4861472 (ID)

Professional Counselor: Definition to come...

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About NPI 1245047463

Jacqueline Moore, LPC's National Provider Identifier is 1245047463, issued on Dec 11, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Meridian, ID. The record was last updated on Oct 15, 2025.