Provider Demographics
NPI:1679993885
Name:DOLL, BRITTNEY RENEE (IMFT)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:RENEE
Last Name:DOLL
Suffix:
Gender:F
Credentials:IMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 N COURT ST STE 3
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-2429
Mailing Address - Country:US
Mailing Address - Phone:740-206-8610
Mailing Address - Fax:316-633-4174
Practice Address - Street 1:14 N COURT ST STE 3
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2429
Practice Address - Country:US
Practice Address - Phone:740-206-8610
Practice Address - Fax:316-633-4174
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-27
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2621106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist