Individual provider · Type 1 NPI

Amanda Moore, LPC

Professional Counselor · Idaho Falls, ID

NPI number 1750152203 Active

Practice location

855 N Capital Ave Ste 1
Idaho Falls, ID 83402-3405

Mailing address

2195 Logan Dr
Idaho Falls, ID 83401-4404

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X10116 (ID)

Professional Counselor: Definition to come...

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About NPI 1750152203

Amanda Moore, LPC's National Provider Identifier is 1750152203, issued on Jan 12, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Idaho Falls, ID. The record was last updated on Jan 12, 2024.