Search › Idaho › 1041C0700X
Tyler Moulton, LCSW
NPI 1710739750 · on the registry since 2024 · sole proprietor
Practice
- Address
- 605 11th Ave E
Gooding, ID 83330 - Phone
- (208) 934-8461
- Organisation at this address
- The Walker Center For Alcoholism And Drug Abuse, Inc.
The Walker Center For Alcoholism And Drug Abuse, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 1030 Utah St, Gooding, ID
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-19
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