Individual provider · Type 1 NPI
William James Dougherty, LPC, LCADC, CAADC
Professional Counselor · Palmer, PA
NPI number
1609054774
Active
Practice location
3504 Freemansburg Ave
Palmer, PA 18045-5107
Fax (610) 252-5619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00137600 (NJ) |
| Professional Counselor | 101YP2500X | 37PC00408700 (NJ) |
| Professional Counselor Primary | 101YP2500X | PC006310 (PA) |
Professional Counselor: Definition to come...
About NPI 1609054774
William James Dougherty, LPC, LCADC, CAADC's National Provider Identifier is 1609054774, issued on Jan 31, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Palmer, PA. The record was last updated on Jul 2, 2012.