person
Jacob Pannell
Addiction (Substance Use Disorder) Counselor in Lewiston, Idaho
NPI 1396519880

Jacob Pannell is an Addiction (Substance Use Disorder) Counselor based in Lewiston, ID and is specialized in Addiction (Substance Use Disorder). Jacob Pannell practices in Lewiston, ID. The NPI Number for Jacob Pannell is 1396519880 and holds a License No. (Idaho).

The current practice location address for Jacob Pannell is 1630 23Rd Ave Bldg 2, Lewiston, ID and can be reached out via phone at 208-746-7784 and via fax at 208-798-8652.

Location: 1630 23Rd Ave Bldg 2, Lewiston, ID, 83501-0812
person
Provider Profile Details
NPI Number
1396519880
Provider Name
Jacob Pannell
Credential
Provider Entity Type
Individual
Gender
Male
Address
1630 23Rd Ave Bldg 2, Lewiston, ID, 83501-0812
Phone Number
208-746-7784
Fax Number
208-798-8652
Provider Enumeration Date
11/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1630 23Rd Ave Bldg 2
City
State
Zip
83501-6350
Phone Number
208-746-7784
Fax Number
208-798-8652
person
Provider Business Mailing Address Details
Address
1630 23Rd Ave Bldg 2
City
State
Zip
83501-6350
Phone Number
208-746-7784
Fax Number
208-798-8652
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...
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