Jaclyn Moore, LCPC is a mental health counselor in Boise, ID. Jaclyn Moore, LCPC NPI is 1992186506. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2577 S FIVE MILE RD STE 101 BOISE, ID ZIP 83709 Phone: (208) 639-1897 Fax: (208) 639-9957
The enumeration date for this NPI number is 6/10/2015 and was last updated on 8/16/2018.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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