Individual provider · Type 1 NPI

Steveb John Moody, LPC

Professional Counselor · Idaho Falls, ID

NPI number 1467632323 Active

Practice location

2375 E Sunnyside Rd, Suite C
Idaho Falls, ID 83404-8280

Call (208) 529-5777 Map

Fax (208) 529-5778

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-3913 (ID)

Professional Counselor: Definition to come...

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About NPI 1467632323

Steveb John Moody, LPC's National Provider Identifier is 1467632323, issued on Nov 8, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Idaho Falls, ID. The record was last updated on Nov 8, 2007.