DR. JACK NEWSOME, PH.D LCPC

Counselor

Active Individual
NPI: 1124169354

Practice Address

732 WASHINGTON AVE
Pocatello, ID 83201

Phone: (208) 478-9822

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes LCPC 3403 (ID)

Frequently Asked Questions

NPI 1124169354 is the National Provider Identifier for DR. JACK NEWSOME, PH.D LCPC, a Counselor provider located in Pocatello, ID. This NPI was enumerated on February 9, 2007.
DR. JACK NEWSOME, PH.D LCPC practices at 732 WASHINGTON AVE, Pocatello, ID 83201.

Quick Facts

NPI
1124169354
Type
Individual
Enumerated
Feb 9, 2007
Last Updated
Jul 9, 2007

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