Provider Demographics
NPI:1255646964
Name:DOHM, CAROLINE ELIZABETH (MA, LPC)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ELIZABETH
Last Name:DOHM
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 GRAND AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-2694
Mailing Address - Country:US
Mailing Address - Phone:970-241-1913
Mailing Address - Fax:970-773-7691
Practice Address - Street 1:551 GRAND AVE STE 303
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-2694
Practice Address - Country:US
Practice Address - Phone:970-241-1913
Practice Address - Fax:970-773-7691
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5591101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health