Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jack D Newsome, PHDLCPC

Individual provider Counselor · NPI 1124169354

Dr. Jack D Newsome, PHDLCPC is a Counselor in Pocatello, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
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Practice location Address checks out

732 Washington Ave
Pocatello, ID 83201-3748
Phone: (208) 478-9822
Fax: (208) 478-6790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LCPC 3403 (ID)

Record details

NPI number1124169354
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDLCPC
Sole proprietorYes
NPI enumeratedFebruary 9, 2007
Last updated in NPPESJuly 9, 2007

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