| Mr Jacob Carlisle Hostetter, CLINICAL COUNSELOR | |
|
182 Sw Academy St, Dallas, OR 97338-1996 | |
| (503) 623-9289 | |
| Not Available |
| Full Name | Mr Jacob Carlisle Hostetter |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 182 Sw Academy St, Dallas, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386187276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jacob Carlisle Hostetter, CLINICAL COUNSELOR 36 Sw Nye St, Newport, OR 97365-3821 Ph: (541) 265-4179 | Mr Jacob Carlisle Hostetter, CLINICAL COUNSELOR 182 Sw Academy St, Dallas, OR 97338-1996 Ph: (503) 623-9289 |
Kimberly Dawn Howard, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
Jedonne Jorstad, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Ste 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-623-1874 | |
Zachary Beeler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Katrina Jeannine West, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Susan Marie Klein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 | |
Mrs. Margaret Ann Terry, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Tiffany Bouchard, MS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, County Of Polk, Suite 220, Dallas, OR 97338 Phone: 503-623-9317 |