Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK D NEWSOME, PH.D LCPC
Active Sole ProprietorDR. JACK D NEWSOME, PH.D LCPC is a Counselor healthcare provider located in POCATELLO, Idaho. NPI 1124169354 is currently active in the NPPES registry. Verify at CMS.
Counselor · POCATELLO, ID
Registration Details
- NPI Number
- 1124169354
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2007 (19.465447039485 yrs)
- Last Updated
- Jul 9, 2007
- License
-
LCPC 3403 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
732 WASHINGTON AVEPOCATELLO, ID, 832013748Browse ID providers · Browse ZIP 83201
- Phone
- 2084789822
- Fax
- 2084786790
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| GEOFFREY D NUSBAUM | PH.D. | 1417978347 |
| DEBORAH LEWIS | MSW, LMSW | 1710088984 |
| MS. SANDRA BILLS | M.A.ED., LCPC | 1841366929 |
| MR. EVAN DONALD KARLSON | M. COUN. | 1508918020 |
| MRS. HEIDI JOY WOOD | LCPC | 1083769657 |
| DAVID L. SORENSEN | BS | 1548389661 |
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.