Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACLYN MOORE, LCPC
Active Sole ProprietorJACLYN MOORE, LCPC is a Mental Health Counselor healthcare provider located in BOISE, Idaho. NPI 1992186506 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · BOISE, ID
Registration Details
- NPI Number
- 1992186506
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2015 (11.151288638787 yrs)
- Last Updated
- Aug 16, 2018
- License
-
6879 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2577 S FIVE MILE RD STE 101BOISE, ID, 83709Browse ID providers · Browse ZIP 83709
- Phone
- 2086391897
- Fax
- 2086399957
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. ROSEMARY LADACY LUQUE | LCPC | 1245225879 |
| MR. RAY EDWARD CAMMACK | M. ED., LCPC | 1528055399 |
| MR. STEPHEN JOHN SCHRADER | LPCP | 1932160660 |
| MARLYS ANN BORRESON | L.C.P.C. | 1659334944 |
| LADESSA FOSTER | LCPC | 1417997123 |
| MS. JENNIFER CONLEY COCHERN | M. COUN | 1053339366 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.