Individual provider · Type 1 NPI
Adrienne Doherty, LCPC
Professional Counselor · Rockford, IL
NPI number
1336485325
Active
Practice location
308 W State St Ste 250
Rockford, IL 61101-1140
Fax (815) 969-8871
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.012568 (IL) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1336485325
Adrienne Doherty, LCPC's National Provider Identifier is 1336485325, issued on Dec 18, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Feb 3, 2021.