person
Mr. Jacob Carlisle Hostetter, CLINICALCOUNSELOR
Mental Health Counselor in Dallas, Oregon
NPI 1386187276

Jacob Carlisle Hostetter is a Mental Health Counselor based in Newport, OR and is specialized in Mental Health. Jacob Carlisle Hostetter practices in Dallas, OR and has the professional credentials of CLINICALCOUNSELOR. The NPI Number for Jacob Carlisle Hostetter is 1386187276 and holds a License No. (Oregon).

The current practice location address for Jacob Carlisle Hostetter is 182 Sw Academy St, Dallas, OR and can be reached out via phone at 503-623-9289.

Location: 182 Sw Academy St, Dallas, OR, 97365-3821
person
Provider Profile Details
NPI Number
1386187276
Provider Name
Jacob Carlisle Hostetter
Credential
CLINICALCOUNSELOR
Provider Entity Type
Individual
Gender
Male
Address
182 Sw Academy St, Dallas, OR, 97365-3821
Phone Number
503-623-9289
Fax Number
Provider Enumeration Date
11/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
182 Sw Academy St
City
State
Zip
97338-1996
Phone Number
503-623-9289
Fax Number
person
Provider Business Mailing Address Details
Address
182 Sw Academy St
City
State
Zip
97338-1996
Phone Number
503-623-9289
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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