Individual
MS. JANE LYNN DOCKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
877 NE CHURCH AVE, ROSEBURG, OR 97470-1590
(541) 817-2905
Mailing address
877 NE CHURCH AVE, ROSEBURG, OR 97470-1590
(541) 817-2905
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1327
OR
Other
Enumeration date
08/05/2012
Last updated
08/05/2012
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