Jacqueline Moore, LPC

NPI #1245047463 in Meridian, Idaho

Provider Information

NPI Number
1245047463
Entity Type
Individual
Name
Jacqueline Moore, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Dec 11, 2024
Last Updated
Oct 15, 2025

Practice Location

Address
3288 E PINE AVE
State
Idaho
ZIP Code
83642-5922
Phone
(208) 888-8886

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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