Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Gary Dyer

Individual provider Counselor · NPI 1073264982

Jacob Gary Dyer is a Counselor in Eagle, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2022
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Practice location Address checks out

1197 S River Flow Way
Eagle, ID 83616-6324
Phone: (208) 921-0796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence COUI-8653 (ID)

Record details

NPI number1073264982
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 12, 2022
Last updated in NPPESJanuary 12, 2022
Certification dateJanuary 12, 2022
Mailing address1197 S River Flow Way, Eagle, ID 83616-6324

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