Provider Demographics
NPI:1942522321
Name:DOAK, SEAN ALLEN
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:ALLEN
Last Name:DOAK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3395 S JONES BLVD
Mailing Address - Street 2:412
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6729
Mailing Address - Country:US
Mailing Address - Phone:775-720-5110
Mailing Address - Fax:
Practice Address - Street 1:3320 SUNRISE AVE
Practice Address - Street 2:104
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-4864
Practice Address - Country:US
Practice Address - Phone:702-457-7617
Practice Address - Fax:702-457-7842
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor