# JEREMY DAVID EASTMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366209595
- **Gender:** Man
- **Credential:** TLMHC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 123981 | IA | — |
| 101YM0800X | Mental Health Counselor | 123981 | IA | Yes |
| 101YP2500X | Professional Counselor | 123981 | IA | — |

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 03/07/2024