Individual provider · Type 1 NPI
Dallin Jackman
Mental Health Counselor · Idaho Falls, ID
NPI number
1437662905
Active
Practice location
2991 Jackie Ct
Idaho Falls, ID 83402-5571
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1437662905
Dallin Jackman's National Provider Identifier is 1437662905, issued on Nov 7, 2017. 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 Jul 13, 2023.