Individual provider · Type 1 NPI

Irene M. Dougherty, LPC

Professional Counselor · Philadelphia, PA

NPI number 1104000157 Active

Practice location

407 Fairmount Ave
Philadelphia, PA 19123-2807

Call (215) 796-2481 Map

Fax (215) 627-6766

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC003468 (PA)

Professional Counselor: Definition to come...

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About NPI 1104000157

Irene M. Dougherty, LPC's National Provider Identifier is 1104000157, issued on Dec 27, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 27, 2007.