Search › Idaho › 1041C0700X
Sebastian Moad, LCSW
NPI 1386259745 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1188 E Bergeson St
Boise, ID 83706 - Phone
- (208) 697-2590
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- NV, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho