Individual
JASON DALLIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
254 E ST STE B, IDAHO FALLS, ID 83402
(205) 529-1854
Mailing address
254 E ST STE B, IDAHO FALLS, ID 83402
(205) 529-1854
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-7662
ID
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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