Whalio Doctors

NPI 1003687047

Jacob Tyler Doering, MSLPCNCCCRC

Practitioner Professional Counselor Pueblo, CO

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
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC.0021786 (CO)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 87311 (TX)

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.