NPI 1003687047
Jacob Tyler Doering, MSLPCNCCCRC
Practice location
- Address
- 327 Colorado Ave, Pueblo, CO 81004-2005
- Phone
- (719) 948-7120
- Mailing address
- 4310 Sentinel Pl, Pueblo, CO 81008-1875
Registered specialties (2)
Professional Counselor
Primary
Professional Counselor
Registry record
- NPI
- 1003687047
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Jan 2024
- Record last updated
- 21 Aug 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.