Nicole Ann Dockery
Counselor, Mental Health in Coos Bay, OR. Individual provider (NPI-1).
NPI number1801463559
StatusActive
Last updated in NPPESJun 9, 2021
Details
- NPI
- 1801463559
- Entity type
- Individual (NPI-1)
- Name
- Nicole Ann Dockery
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2021
- Certification date
- Jun 9, 2021
- Last updated
- Jun 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2020 Thompson RdCoos Bay, OR 97420-2041
Phone 541-267-3511 · Fax 541-267-3512
Mailing address
1750 Nebraska Ave Bldg AGrants Pass, OR 97527-5700
Phone 541-956-4943 · Fax 541-295-3085
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