Individual provider · Type 1 NPI

Jacob Carlisle Hostetter, CLINICAL COUNSELOR

Mental Health Counselor · Dallas, OR

NPI number 1386187276 Active

Practice location

182 SW Academy St
Dallas, OR 97338-1996

Call (503) 623-9289 Map

Mailing address

36 SW Nye St
Newport, OR 97365-3821

Other practice locations

  • 4422 NE Devils Lake Blvd Ste 2, Lincoln City, OR 97367-5000 · (541) 265-4196
  • 51 SW Lee St, Newport, OR 97365-3823 · (541) 574-5960

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

192 other providers at this address

Other mental health counselor providers in Dallas

See all in Dallas →

About NPI 1386187276

Jacob Carlisle Hostetter, CLINICAL COUNSELOR's National Provider Identifier is 1386187276, issued on Nov 23, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, OR. The record was last updated on Sep 25, 2019.