Individual provider · Type 1 NPI
Doug Michael Dougherty, THM MED LPC
Professional Counselor · Dallas, TX
NPI number
1952569097
Active
Practice location
4525 Lemmon Ave, Suite 200
Dallas, TX 75219-2145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor | 101YP1600X | 62871 (TX) |
| Professional Counselor Primary | 101YP2500X | 62871 (TX) |
Professional Counselor: Definition to come...
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About NPI 1952569097
Doug Michael Dougherty, THM MED LPC's National Provider Identifier is 1952569097, issued on May 27, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Jun 13, 2011.