| Jen Moore Counseling Services, Llc | |
|
3350 W Americana Ter Ste 210b Boise ID 83706-2521 | |
| (208) 917-1131 | |
| Not Available |
| Full Name | Jen Moore Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3350 W Americana Ter Ste 210b, Boise, Idaho |
| Authorized Official Name and Position | Jennifer Danlee Moore (OWNER, PROVIDER) |
| Authorized Official Contact | 2089171131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jen Moore Counseling Services, Llc 663 W Berwick Dr Boise ID 83706-4717 Ph: (208) 917-1131 | Jen Moore Counseling Services, Llc 3350 W Americana Ter Ste 210b Boise ID 83706-2521 Ph: (208) 917-1131 |
| NPI Number | 1508388513 |
|---|---|
| Provider Enumeration Date | 07/11/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508388513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 6408 (Idaho) | Primary |
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