Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB PANNELL
ActiveJACOB PANNELL is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LEWISTON, Idaho. NPI 1396519880 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LEWISTON, ID
Registration Details
- NPI Number
- 1396519880
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2023 (2.7094848532066 yrs)
- Last Updated
- Nov 14, 2023
Practice Information
- Address
-
1630 23RD AVE BLDG 2LEWISTON, ID, 835016350Browse ID providers · Browse ZIP 83501
- Phone
- 2087467784
- Fax
- 2087988652
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LEWISTON, ID
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID ALAN JOSEPHSON | M.S., ACADC | 1649457888 |
| SAYDEE MARIE SMITH | — | 1932750585 |
| MR. BOBBY LEON PASCOE JR. | — | 1295515898 |
| JAMES FRANKLIN GUMP | BS, CADC | 1205699709 |
| ROGER D VIRGIN | — | 1144084617 |
| MR. ANTHONY BRIAN TENNY | CADC | 1013775162 |
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.