Individual provider · Type 1 NPI

Diane K. Moll

Counselor · Pocatello, ID

NPI number 1467675587 Active

Practice location

1246 Yellowstone Ave, Suite C-6
Pocatello, ID 83201-4374

Call (208) 234-8010 Map

Mailing address

PO Box 4944
Pocatello, ID 83205-4944

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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 1467675587

Diane K. Moll's National Provider Identifier is 1467675587, issued on Apr 10, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2007.