Provider Demographics
NPI:1407261696
Name:DOOLEY, ERIC EUGENE (MDIV, MA)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:EUGENE
Last Name:DOOLEY
Suffix:
Gender:M
Credentials:MDIV, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3208 50TH STREET CT NW
Mailing Address - Street 2:SUITE 102-C
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-8590
Mailing Address - Country:US
Mailing Address - Phone:253-861-0569
Mailing Address - Fax:
Practice Address - Street 1:3208 50TH STREET CT NW
Practice Address - Street 2:SUITE 102-C
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-8590
Practice Address - Country:US
Practice Address - Phone:253-861-0569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor