KEITH MICHAEL MOORE

BOISE, ID
NPI1144714114
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor Professional
(Licence: ID  LPC-6900)
Enumeration Date2018-06-21
Last Update Date2018-06-21
Business Address
KEITH MICHAEL MOORE LPC
2316 N COLE RD STE A
BOISE, ID 83704-7365
Phone number: 208-323-2273
Mailing Address
KEITH MICHAEL MOORE LPC
1516 1/2 N 7TH ST
BOISE, ID 83702-3733
Phone number: 208-651-0203
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