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Jacob Gary Dyer
Counselor in Eagle, Idaho
NPI 1073264982

Jacob Gary Dyer is a Counselor based in Eagle, ID. Jacob Gary Dyer practices in Eagle, ID. The NPI Number for Jacob Gary Dyer is 1073264982 and holds a License No. COUI-8653 (Idaho).

The current practice location address for Jacob Gary Dyer is 1197 S River Flow Way, Eagle, ID and can be reached out via phone at 208-921-0796. You can also correspond with Jacob Gary Dyer through the mailing address at 1197 S RIVER FLOW WAY, EAGLE, ID - 83616-6324 (mailing address contact number: 208-921-0796).

Location: 1197 S River Flow Way, Eagle, ID, 83616-6324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073264982
Provider Name
Jacob Gary Dyer
Credential
Provider Entity Type
Individual
Gender
Male
Address
1197 S River Flow Way, Eagle, ID, 83616-6324
Phone Number
208-921-0796
Fax Number
Provider Enumeration Date
01/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1197 S River Flow Way
City
Eagle
State
Idaho
Zip
83616-6324
Phone Number
208-921-0796
Fax Number
person
Provider Business Mailing Address Details
Address
1197 S River Flow Way
City
Eagle
State
Idaho
Zip
83616-6324
Phone Number
208-921-0796
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
COUI-8653 (Idaho)
Definition
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.
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