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Miraya Moore, LPC
Mental Health Counselor in Pocatello, Idaho
NPI 1891429841

Miraya Moore is a Mental Health Counselor based in Pocatello, ID and is specialized in Mental Health. Miraya Moore practices in Pocatello, ID and has the professional credentials of LPC. The NPI Number for Miraya Moore is 1891429841 and holds a License No. LPC-8884 (Idaho).

The current practice location address for Miraya Moore is 151 N 3Rd Ave Ste 330, Pocatello, ID and can be reached out via phone at 208-242-3771.

Location: 151 N 3Rd Ave Ste 330, Pocatello, ID, 83201-6369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891429841
Provider Name
Miraya Moore
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
151 N 3Rd Ave Ste 330, Pocatello, ID, 83201-6369
Phone Number
208-242-3771
Fax Number
Provider Enumeration Date
07/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
151 N 3Rd Ave Ste 330
City
Pocatello
State
Idaho
Zip
83201-6369
Phone Number
208-242-3771
Fax Number
person
Provider Business Mailing Address Details
Address
151 N 3Rd Ave Ste 330
City
Pocatello
State
Idaho
Zip
83201-6369
Phone Number
208-242-3771
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC-8884 (Idaho)
Definition
Definition to come...
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