Jaci Moore, LLC

NPI #1528926185 in Meridian, Idaho

Provider Information

NPI Number: 1528926185
Entity Type: Organization
Organization Name: Jaci Moore, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 13, 2026
Last Updated: Jan 13, 2026

Practice Location

Address: 690 S INDUSTRY WAY STE 45
City: Meridian
State: Idaho
ZIP Code: 83642-7907
Phone: (801) 808-4129

Authorized Official

Name: JACQUELINE MOORE, LPC
Title: OWNER
Phone: (801) 808-4129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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