Irene M Dougherty LPC

NPI 1104000157 - Counselor - 101YP2500X

NPI Details
NPI 1104000157
Gender Female
Enumeration Date 12/27/2007
Last Updated 12/27/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
407 FAIRMOUNT AVE
PHILADELPHIA PA, 19123-2807, US
Phone (215) 796-2481
Fax (215) 627-6766
Business Location
407 FAIRMOUNT AVE
PHILADELPHIA PA, 19123-2807, US
Phone (215) 796-2481
Fax (215) 627-6766
Toxanomy
Taxonomy Code 101YP2500X
License State Pennsylvania
License Number PC003468
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According to our database, Irene M Dougherty LPC NPI is 1104000157, taxonomy code is 101YP2500X and license number is PC003468, license state is located at Pennsylvania. Irene M Dougherty LPC physically located at 407 Fairmount Ave, Philadelphia PA, 19123-2807. NPI Number Irene M Dougherty LPC has the Individual type.

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1104000157 NPI number is provided on an as is basis without warranty of any kind. 1104000157 is maintained by the National Plan & Provider Enumeration System. The contents of Irene M Dougherty LPC are for informational purposes only.