Moore, Ann Jolene

Moore, Ann Jolene is an sole proprietor health care provider with primary practice located at 4696 W Overland Rd Suite 118, Boise ID 83705-2845. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moore, Ann Jolene can be contacted via phone (208) 841-3581.

Contact Information

Primary practice address
4696 W Overland Rd Suite 118 Boise ID 83705-2845
Fax: (208) 906-8572

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC-3938 Idaho

Profile Details

NPI number 1972789535
LBN Legal business name Moore, Ann Jolene
Credentials L.C.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2008
Last updated Apr 2nd, 2013 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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