Individual provider · Type 1 NPI

Jerome Doherty, CDP

Addiction (Substance Use Disorder) Counselor · Seattle, WA

NPI number 1699228049 Active

Practice location

11000 Lake City Way NE
Seattle, WA 98125-6748

Call (206) 632-5009 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1006 (WA)

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

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About NPI 1699228049

Jerome Doherty, CDP's National Provider Identifier is 1699228049, issued on Aug 2, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Seattle, WA. The record was last updated on Aug 2, 2016.