| Jane Domke, Phd | |
|
701 W High St Room 14 Jefferson City MO 65101-1525 | |
| (573) 636-3313 | |
| Not Available |
| Full Name | Jane Domke, Phd |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 701 W High St, Jefferson City, Missouri |
| Authorized Official Name and Position | Michael Craighead (COO) |
| Authorized Official Contact | 5735567776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Domke, Phd 701 W High St Jefferson City MO 65101-1525 Ph: () - | Jane Domke, Phd 701 W High St Room 14 Jefferson City MO 65101-1525 Ph: (573) 636-3313 |
| NPI Number | 1922163781 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 11/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922163781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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