Provider Demographics
NPI:1891353702
Name:DOTHAN PROFESSIONAL COUNSELING SERVICES
Entity Type:Organization
Organization Name:DOTHAN PROFESSIONAL COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:E
Authorized Official - Last Name:COMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:334-701-4486
Mailing Address - Street 1:310 SPRUCEPINE RD
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-7268
Mailing Address - Country:US
Mailing Address - Phone:334-701-4486
Mailing Address - Fax:347-027-2893
Practice Address - Street 1:310 SPRUCEPINE RD
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-7268
Practice Address - Country:US
Practice Address - Phone:334-701-4486
Practice Address - Fax:347-027-2893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty