Wellformed AI

NPI 1902306905 · live from the CMS NPI Registry

Jocelyn Doremus, LMFT

Marriage & Family Therapist in Chugiak, AK. National Provider Identifier 1902306905, active.

NPI record

NPI1902306905 Type 1 · individual
StatusActive
Primary specialtyMarriage & Family Therapist 106H00000X
Practice location23554 Blue Skies Dr, Chugiak, AK 99567
Practice phone907-726-3572
Mailing addressPo Box 670813, Chugiak, AK 99567
EnumeratedFebruary 15, 2018
Last updatedApril 7, 2020
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Marriage & Family Therapist primary106H00000X262927 (KY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.