JACLYN MOORE


Address: 2577 S Five Mile Rd Ste 101, Boise, ID 83709
Phone: 2086391897

JACLYN MOORE (NPI# 1992186506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992186506
Entity Type Individual
Full Name JACLYN MOORE
Credential LCPC
Practice Address 2577 S Five Mile Rd Ste 101
Boise
ID 83709
Mailing Address 2577 S Five Mile Rd Ste 101
Boise
ID 83709-2325
Practice Telephone 2086391897
Practice Fax Number 2086399957
Mailing Telephone 2086391897
Mailing Fax Number 2086399957
Enumeration Date 2015-06-10
Last Update Date 2018-08-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
6879 ID Behavioral Health & Social Service Providers

Other Providers JACLYN MOORE

NPI Name Taxonomy Address Enumeration
1629684907 Jaclyn Vaughn Moore Dietitian, Registered 234 E Gray St Ste 164, Louisville, KY 40202-1903 2020-09-22
1114428364 Jaclyn Marie Moore Occupational Therapist 10000 Telegraph Rd, Taylor, MI 48180-3330 2018-02-23
1992137848 Jaclyn M Moore Licensed Practical Nurse 777 37th St, Suite B107, Vero Beach, FL 32960-4873 2013-08-02
1679739759 Jaclyn Moore Technician 19401 Northline Rd, Southgate, MI 48195-2277 2008-07-29
1073669354 Jaclyn Lee Moore Pharmacist 67-1185 Mamalahoa Hwy, Kamuela, HI 96743-7304 2007-01-26

Office Location

Street Address 2577 S FIVE MILE RD STE 101
City BOISE
State ID
Zip Code 83709

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427655398 Jayme Rossow Occupational Therapist 101 S. Allumbaugh Way, Boise, ID 83709 2020-10-05
1578195285 Kara Taylor Counselor 9196 W Barnes St., Boise, ID 83709 2020-02-11
1164080164 Elena Stamm Audiologist 10000 W Amity Rd, Boise, ID 83709 2019-06-04
1326550096 Lawrence D Anderson Md Estate Optometrist 8955 W Hackamore Dr, Boise, ID 83709 2017-11-02
1457879975 Mark Aaron Phelan Registered Nurse 779 S. Tennyson Way, Boise, ID 83709 2017-09-05
1235665290 Sharon Nelson Dietitian, Registered 2790 S Goshen Way, Boise, ID 83709 2017-05-11
1982139622 First Choice Healthcare, Inc. Home Health 12400 W. Overland Rd., Ste 100, Boise, ID 83709 2017-05-01
1801320254 Deborah Carson Social Worker 8349 West Harmonica Way, Boise, ID 83709 2017-04-12
1114479862 Allyson Anne Bates Nurse Practitioner 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 2016-10-28
1508221391 Elisha L. Garrison Counselor 9196 W. Barnes Street, Boise, ID 83709 2015-12-21
Find all providers in zip 83709

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003425547 Jennifer Weseman Counselor 6305 W Overland Rd Ste 100, Boise, ID 83709-3029 2020-07-30
1801405766 Kristin Sue Richards Counselor 2000 N Larch St, Boise, ID 83706-1020 2020-07-27
1891316972 Mary Lott Counselor 6300 W Denton St, Boise, ID 83704-9326 2020-04-30
1750900429 Patrick Barga Counselor 344 S Latah St Apt 202, Boise, ID 83705-5175 2020-04-13
1184254146 Emily Diane Bergstrom Counselor 2365 N 34th St, Boise, ID 83703-5523 2020-01-18
1073150033 Allegiance Behavioral Health LLC Counselor 1010 N Orchard St Ste 1a, Boise, ID 83706-2255 2019-12-09
1841836178 Hopeful Connections Parenting, LLC Counselor 1027 S Curtis Rd, Boise, ID 83705-1842 2019-11-21
1528601440 Idaho Federtion of Families Counselor 704 N 7th St, Boise, ID 83702-5503 2019-10-23
1073154175 A Better Life Counseling Pllc Counselor 4948 W Kootenai St Ste 102, Boise, ID 83705-2081 2019-10-01
1265087522 Rosalie Lacivita Counselor 921 S Orchard St Ste 100, Boise, ID 83705-1916 2019-08-05
Find all providers in BOISE

Competitor

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City BOISE
Zip Code 83709

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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