MONTY L MOORE JOHNSON, LCPC
Mental Health at Emerald St, Boise, ID

License number
Idaho LCPC-209
Category
Mental Health
Type
Mental Health
Address
Address
6540 W Emerald St SUITE 100, Boise, ID 83704
Phone
(208) 376-0979
(208) 378-1089 (Fax)
National Provider ID: 1801939533
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Monty Moore
1755 N Westgate Dr, Boise, ID 83704
(208) 376-0979
Monty Moore
365 Main St, Hazelton, ID 83335
(208) 825-4104

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