Individual
JANAE MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4750 N FIVE MILE RD, BOISE, ID 83713-2715
(208) 996-0931
(208) 996-0932
Mailing address
4750 N FIVE MILE RD, BOISE, ID 83713-2715
(208) 996-0931
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7886
ID
106H00000X
Marriage & Family Therapist
85617
CA
Other
Enumeration date
07/29/2013
Last updated
04/04/2023
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