Individual provider · Type 1 NPI

Mary K. Doherty

Addiction (Substance Use Disorder) Counselor · Philadelphia, PA

NPI number 1255479564 Active

Practice location

8540 Verree Rd
Philadelphia, PA 19111-1325

Call (215) 342-7660 Map

Fax (215) 701-3151

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1255479564

Mary K. Doherty's National Provider Identifier is 1255479564, issued on Feb 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.