Individual provider · Type 1 NPI

Jared Dotson, MCOUN, LPC, NCC

Mental Health Counselor · Idaho Falls, ID

NPI number 1376790295 Active

Practice location

1740 E 17th St
Idaho Falls, ID 83404-6375

Call (208) 529-8832 Map

Fax (208) 522-8725

Mailing address

590 Seminary Ave
Shelley, ID 83274-1439

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC-4177 (ID)
School Counselor 101YS0200XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376790295

Jared Dotson, MCOUN, LPC, NCC's National Provider Identifier is 1376790295, issued on Aug 21, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 21, 2008.