Male or Other

Jeffrey Doughman MS

Counselor in Tampa, FL(View on Map)

Full Name

Jeffrey Doughman MS

NPI Number

1265136733

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/29/2023

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

IMH21030

Contact
Information

Purpose

Mailing
Location

Address

2112 MIRAMONT CIR
4422 E COLUMBUS DR

City

Valrico
Tampa

State

FL
FL

Postal Code

33594-3124
33605-3233

Country

US
US

Telephone Number

(813) 731-0632
(813) 384-4016

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/29/2023

Provider Address

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