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NPI Code Detail

MEDICARE: JAMIE LYNN DOAK MA, LPCC, NCC

MEDICARE:   JAMIE LYNN DOAK  MA, LPCC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101Y00000XCounselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841715869
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE LYNN DOAK MA, LPCC, NCC
Provider Business Mailing Address
First Line : PO BOX 7565
Second Line :
City : DENVER
State : CO
Zip : 80207-0565
Country : US
Telephone Number : 303-569-8109
Fax Number :
Provider Business Practice Location Address
First Line : 3401 QUEBEC ST STE 4500
Second Line :
City : DENVER
State : CO
Zip : 80207-2310
Country : US
Telephone Number : 303-569-8109
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2017
Last Update Date : 02/16/2019

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