Individual
JACOB TYLER DOERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC, NCC, CRC
Contact information
Practice address
327 COLORADO AVE, PUEBLO, CO 81004-2005
(719) 948-7120
Mailing address
4310 SENTINEL PL, PUEBLO, CO 81008-1875
(972) 768-7541
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
87311
TX
101YP2500X
Professional Counselor
Primary
LPC.0021786
CO
Other
Enumeration date
01/09/2024
Last updated
08/21/2025
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