NPI 1003178559

Courtney Moore

Practitioner Mental Health Counselor Pocatello, ID

Practice location

Address: 2055 Garrett Way STE 2, Pocatello, ID 83201-5100
Phone: (208) 233-7832
Mailing address: PO Box 4908, Pocatello, ID 83205-4908

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Idaho →

Registry record

NPI: 1003178559
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2012
Record last updated: 11 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.