Individual provider · Type 1 NPI

Amanda Marie Dougherty

Adolescent and Children Mental Health Clinic/Center · Bloomington, MN

NPI number 1033958848 Active

Practice location

9358 Ensign Ave S
Bloomington, MN 55438-1472

Call (952) 666-2289 Map

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1033958848

Amanda Marie Dougherty's National Provider Identifier is 1033958848, issued on May 21, 2024. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Bloomington, MN. The record was last updated on May 21, 2024.