Diane K. Moll

NPI #1467675587 in Pocatello, Idaho

Provider Information

NPI Number: 1467675587
Entity Type: Individual
Name: Diane K. Moll
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Apr 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1246 YELLOWSTONE AVE
Address 2: SUITE C-6
City: Pocatello
State: Idaho
ZIP Code: 83201-4374
Phone: (208) 234-8010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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