person
Mr. Thomas L Moore, LCPC
Professional Counselor in Mccall, Idaho
NPI 1457537896

Thomas L Moore is a Professional Counselor based in Mccall, ID and is specialized in Professional. Thomas L Moore practices in Mccall, ID and has the professional credentials of LCPC. The NPI Number for Thomas L Moore is 1457537896 and holds a License No. LCPC 391 (Idaho).

The current practice location address for Thomas L Moore is 310 E. Lake St., Mccall, ID and can be reached out via phone at 208-634-4404 and via fax at 208-634-1855.

Location: 310 E. Lake St., Mccall, ID, 83638
person
Provider Profile Details
NPI Number
1457537896
Provider Name
Thomas L Moore
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
310 E. Lake St., Mccall, ID, 83638
Phone Number
208-634-4404
Fax Number
208-634-1855
Provider Enumeration Date
01/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LCPC 391 01 ID STATE LICENSSE
institution
Provider Business Practice Location Address Details
Address
310 E. Lake St.
City
State
Zip
83638
Phone Number
208-634-4404
Fax Number
208-634-1855
person
Provider Business Mailing Address Details
Address
310 E. Lake St.
City
State
Zip
83638
Phone Number
208-634-4404
Fax Number
208-634-1855
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC 391 (Idaho)
Definition
Definition to come...
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