Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB GARY DYER
Active Sole ProprietorJACOB GARY DYER is a Counselor healthcare provider located in EAGLE, Idaho. NPI 1073264982 is currently active in the NPPES registry. Verify at CMS.
Counselor · EAGLE, ID
Registration Details
- NPI Number
- 1073264982
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2022 (4.5447032362379 yrs)
- Last Updated
- Jan 12, 2022
- License
-
COUI-8653 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1197 S RIVER FLOW WAYEAGLE, ID, 836166324Browse ID providers · Browse ZIP 83616
- Phone
- 2089210796
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in EAGLE, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. DIANA LINCOLN-HAYE | LPC | 1083016992 |
| MARIE DEMERS | MA, LPC | 1235533175 |
| MS. CHELSEA LYNN LEATHERMAN | LPC | 1427651272 |
| MELISSA LYNN MAYCROFT | — | 1346095163 |
| JENNIFER M HANDLEY | — | 1902642408 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.