Provider Demographics
NPI:1821339839
Name:DARCY-DOWLER, JAIMIE SUE
Entity Type:Individual
Prefix:
First Name:JAIMIE
Middle Name:SUE
Last Name:DARCY-DOWLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1243 N RAYNOLDS AVE
Mailing Address - Street 2:
Mailing Address - City:CANON CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81212-8401
Mailing Address - Country:US
Mailing Address - Phone:907-855-1078
Mailing Address - Fax:
Practice Address - Street 1:1243 N RAYNOLDS AVE
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212-8401
Practice Address - Country:US
Practice Address - Phone:907-855-1078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-15
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health