Provider Demographics
NPI:1346020294
Name:AUTUMN DOSHIER COUNSELING LLC
Entity Type:Organization
Organization Name:AUTUMN DOSHIER COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:AUTUMN
Authorized Official - Middle Name:JEWEL
Authorized Official - Last Name:DOSHIER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:541-819-0564
Mailing Address - Street 1:PO BOX 1753
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-0137
Mailing Address - Country:US
Mailing Address - Phone:541-819-0564
Mailing Address - Fax:
Practice Address - Street 1:300 E HERSEY ST STE 1
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-6201
Practice Address - Country:US
Practice Address - Phone:541-819-0564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty