Individual provider · Type 1 NPI
Jacqueline Dougherty
Mental Health Counselor · St. Augustine, FL
NPI number
1992266928
Active
Practice location
4475 US Highway 1 S Ste 608
St. Augustine, FL 32086-7282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH16753 (FL) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1992266928
Jacqueline Dougherty's National Provider Identifier is 1992266928, issued on Mar 31, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Augustine, FL. The record was last updated on Mar 31, 2019.