Jaclyn Moore, LCPC

NPI 1992186506 · on the registry since 2015 · sole proprietor

Practice

Address: 2577 S Five Mile Rd Ste 101
Boise, ID 83709
Phone: (208) 639-1897
Fax: (208) 639-9957
Organisation at this address: Cloud Clinic Mental Health
Krista Doubleday Counseling Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-08-16

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