Individual provider · Type 1 NPI

Ann Jolene Moore, L.C.P.C.

Mental Health Counselor · Boise, ID

NPI number 1972789535 Active

Practice location

4696 W Overland Rd, Suite 118
Boise, ID 83705-2845

Call (208) 841-3581 Map

Fax (208) 906-8572

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC-3938 (ID)

Mental Health Counselor: Definition to come...

11 other providers at this address

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About NPI 1972789535

Ann Jolene Moore, L.C.P.C.'s National Provider Identifier is 1972789535, issued on Jan 14, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Apr 2, 2013.