person
Dr. Jack D Newsome, PHDLCPC
Counselor in Pocatello, Idaho
NPI 1124169354

Jack D Newsome is a Counselor based in Idaho Falls, ID. Jack D Newsome practices in Pocatello, ID and has the professional credentials of PHDLCPC. The NPI Number for Jack D Newsome is 1124169354 and holds a License No. LCPC 3403 (Idaho).

The current practice location address for Jack D Newsome is 732 Washington Ave, Pocatello, ID and can be reached out via phone at 208-478-9822 and via fax at 208-478-6790.

Location: 732 Washington Ave, Pocatello, ID, 83401
person
Provider Profile Details
NPI Number
1124169354
Provider Name
Jack D Newsome
Credential
PHDLCPC
Provider Entity Type
Individual
Gender
Male
Address
732 Washington Ave, Pocatello, ID, 83401
Phone Number
208-478-9822
Fax Number
208-478-6790
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
732 Washington Ave
City
State
Zip
83201-3748
Phone Number
208-478-9822
Fax Number
208-478-6790
person
Provider Business Mailing Address Details
Address
732 Washington Ave
City
State
Zip
83201-3748
Phone Number
208-478-9822
Fax Number
208-478-6790
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LCPC 3403 (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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