Individual provider · Type 1 NPI
Mary J. Dougherty, LCPC
Professional Counselor · Chicago, IL
NPI number
1942368360
Active
Practice location
4221 N Kenmore Ave
Chicago, IL 60613
Fax (773) 975-6662
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1942368360
Mary J. Dougherty, LCPC's National Provider Identifier is 1942368360, issued on Dec 5, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.