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MR. JACOB CARLISLE HOSTETTER CLINICAL COUNSELOR

CLINICAL COUNSELOR

Mental Health Counselor

NPI: 1386187276Individual

Specialties, Licenses & Credentials

Addiction (Substance Use Disorder) Counselor

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

Contact & Hours

Via POLK COUNTY MENTAL HEALTH · 3 locations total

Address
182 SW ACADEMY ST
DALLAS, OR 97338

Quick Facts

NPI
1386187276
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
3

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