Diane K. Moll is a Counselor based in Pocatello, ID. Diane K. Moll practices in Pocatello, ID. The NPI Number for Diane K. Moll is 1467675587 and holds a License No. (Idaho).
The current practice location address for Diane K. Moll is 1246 Yellowstone Ave, Pocatello, ID and can be reached out via phone at 208-234-8010.
Location: 1246 Yellowstone Ave, Pocatello, ID, 83205-4944
Provider Profile Details
NPI Number
1467675587
Provider Name
Diane K. Moll
Credential
Provider Entity Type
Individual
Gender
Female
Address
1246 Yellowstone Ave, Pocatello, ID, 83205-4944
Phone Number
208-234-8010
Fax Number
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1246 Yellowstone Ave
City
State
Zip
83201-4374
Phone Number
208-234-8010
Fax Number
Provider Business Mailing Address Details
Address
1246 Yellowstone Ave
City
State
Zip
83201-4374
Phone Number
208-234-8010
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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