Individual
LINDA MOXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1125 E HAWAII AVE, NAMPA, ID 83686-6210
(559) 797-5227
Mailing address
PO BOX 76, COCOLALLA, ID 83813-0076
(559) 797-5227
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LMSW-43289
ID
104100000X
Social Worker
Primary
LMSW-43289
ID
1041C0700X
Clinical Social Worker
LMSW-43289
ID
Other
Enumeration date
03/04/2021
Last updated
11/09/2023
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