Individual provider · Type 1 NPI
Jaclyn Moore, LCPC
Mental Health Counselor · Boise, ID
NPI number
1992186506
Active
Practice location
2577 S Five Mile Rd Ste 101
Boise, ID 83709
Fax (208) 639-9957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6879 (ID) |
Mental Health Counselor: Definition to come...
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About NPI 1992186506
Jaclyn Moore, LCPC's National Provider Identifier is 1992186506, issued on Jun 10, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Aug 16, 2018.