Individual provider · Type 1 NPI
Jennifer Lynn Dougherty, PhD
Counselor · Dallas, TX
NPI number
1669707097
Active
Practice location
17103 Preston Rd, Suite 288
Dallas, TX 75248-1332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 20192 (TX) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1669707097
Jennifer Lynn Dougherty, PhD's National Provider Identifier is 1669707097, issued on Oct 2, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Dallas, TX. The record was last updated on Jan 29, 2015.