Doolin, Alicia Diane

Doolin, Alicia Diane is an individual health care provider with primary practice located at 24 Joliet St , Dyer IN 46311-1705. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Doolin, Alicia Diane can be contacted via phone (219) 322-5747.

Contact Information

Primary practice address
24 Joliet St Dyer IN 46311-1705
Phone: (219) 322-5747
Fax: (219) 864-2282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39000972A Indiana

Profile Details

NPI number 1245768522
LBN Legal business name Doolin, Alicia Diane
Credentials LMHC, LCAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2017
Last updated Mar 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245768522 NPPES
Indiana Other 87000264A STATE LICENSING BOARD
Indiana MEDICAID 300007506 STATE LICENSING BOARD
Indiana Other 39000972A STATE LICENSING BOARD

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