Individual provider · Type 1 NPI

Thomas L. Moore, LCPC

Professional Counselor · Mccall, ID

NPI number 1457537896 Active

Practice location

310 E. Lake St., Tom Moore
Mccall, ID 83638

Call (208) 634-4404 Map

Fax (208) 634-1855

Mailing address

PO Box 4630
Mccall, ID 83638

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLCPC 391 (ID)

Professional Counselor: Definition to come...

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About NPI 1457537896

Thomas L. Moore, LCPC's National Provider Identifier is 1457537896, issued on Jan 16, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mccall, ID. The record was last updated on Jan 16, 2008.