Individual
MR. JARED DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MCOUN, LPC, NCC
Contact information
Practice address
1740 E 17TH ST, IDAHO FALLS, ID 83404-6375
(208) 529-8832
(208) 522-8725
Mailing address
590 SEMINARY AVE, SHELLEY, ID 83274-1439
(208) 403-1984
(208) 522-8725
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4177
ID
101YS0200X
School Counselor
—
—
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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