Organization
DELTERRA
Active
Other names
Moore Balance Coaching & Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DALYNN N MOORE LCPC (OWNER/CLINICIAN)
(385) 437-0188
Entity
Organization
Contact information
Practice address
172 CHARLES PL, REXBURG, ID 83440-5452
(385) 437-0188
(855) 710-7572
Mailing address
172 CHARLES PL, REXBURG, ID 83440-5452
(208) 557-1544
(855) 710-7572
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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