Individual
JOCELYN BROOKS MAVEC DOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1302 S SHIELDS ST # A 1/3, FORT COLLINS, CO 80521-4801
(970) 232-4242
Mailing address
1302 S SHIELDS ST # A 1/3, FORT COLLINS, CO 80521-4801
(970) 232-4242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12259
DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
05/17/2012
Last updated
05/17/2012
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