Individual provider · Type 1 NPI

Jacob Tyler Doering, MS, LPC, NCC, CRC

Professional Counselor · Pueblo, CO

NPI number 1003687047 Active

Practice location

327 Colorado Ave
Pueblo, CO 81004-2005

Mailing address

4310 Sentinel Pl
Pueblo, CO 81008-1875

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC.0021786 (CO)
Professional Counselor 101YP2500X87311 (TX)

Professional Counselor: Definition to come...

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About NPI 1003687047

Jacob Tyler Doering, MS, LPC, NCC, CRC's National Provider Identifier is 1003687047, issued on Jan 9, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pueblo, CO. The record was last updated on Aug 21, 2025.