Individual
ALICIA DIANE DOOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LCAC
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 322-5747
(219) 864-2282
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000972A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300007506
—
IN
01
—
39000972A
STATE LICENSING BOARD
IN
01
—
87000264A
STATE LICENSING BOARD
IN
Enumeration date
05/31/2017
Last updated
03/05/2024
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