Individual provider · Type 1 NPI
Jacob Gary Dyer
Counselor · Eagle, ID
NPI number
1073264982
Active
Practice location
1197 S River Flow Way
Eagle, ID 83616-6324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | COUI-8653 (ID) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Other counselor providers in Eagle
About NPI 1073264982
Jacob Gary Dyer's National Provider Identifier is 1073264982, issued on Jan 12, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Eagle, ID. The record was last updated on Jan 12, 2022.