Individual provider · Type 1 NPI

Matilda Marie Dougherty, LGPC, NCC

Mental Health Counselor · Frederick, MD

NPI number 1114640513 Active

Practice location

319 W Patrick St
Frederick, MD 21701-4855

Mailing address

73 S Main St
Smithsburg, MD 21783-1952

Other practice locations

  • 73 S Main St, Smithsburg, MD 21783-1952 · (240) 422-3150

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114640513

Matilda Marie Dougherty, LGPC, NCC's National Provider Identifier is 1114640513, issued on Sep 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Frederick, MD. The record was last updated on Sep 21, 2022.