Provider Demographics
NPI:1619399565
Name:DOAN, WINDY (LPC)
Entity Type:Individual
Prefix:
First Name:WINDY
Middle Name:
Last Name:DOAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 N TEJON ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1012
Mailing Address - Country:US
Mailing Address - Phone:719-227-7745
Mailing Address - Fax:719-227-7743
Practice Address - Street 1:724 N TEJON ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1012
Practice Address - Country:US
Practice Address - Phone:719-227-7745
Practice Address - Fax:719-227-7743
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC0013310101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional