Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melanie Renee Moore

Individual provider Professional Counselor · NPI 1063360758

Melanie Renee Moore is a Professional Counselor in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

396 Yellowstone Ave
Pocatello, ID 83201-4572
Phone: (385) 985-6354
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4671296 (ID)

Record details

NPI number1063360758
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2026
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing address561 Raven Way, Chubbuck, ID 83202-1971

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